Trans-catheter aortic valve-in-valve implantation in an elderly patient with Evans syndrome

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• 作者：Subhi J. Al&rsquo ; Aref ; MD^a ; Arash Salemi ; MD^b ; Robert M. Minutello ; MD^a ; Geoffrey Bergman ; MBBS^a ; S. Chiu Wong ; MD^a ; ^{scwong@med.cornell.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Trans-catheter aortic valve implantation ; Aortic stenosis ; Evans syndrome
• 刊名：Journal of Cardiology Cases
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：13
• 期：5
• 页码：146-148
• 全文大小：520 K

文摘

We report the first case of trans-catheter aortic valve implantation in a 90-year-old man with a severely stenotic bioprosthetic aortic valve in the context of an autoimmune hemolytic anemia and immune thrombocytopenia (Evans syndrome) using the trans-femoral approach. The patient was supported in the peri-procedural period with high-dose steroids, intravenous immunoglobulins, platelet transfusions, and thrombopoietin receptor agonist (romiplostim). The post-procedural period was unremarkable with no bleeding complications.

<Learning objective: Trans-catheter aortic valve implantation has become a treatment option for severe aortic stenosis in patients with high-risk features for surgical intervention. This includes patients with bleeding diathesis, who can undergo trans-catheter aortic valve replacement with minimal incidence of vascular and bleeding complications with careful peri-procedural planning using current standard of care approaches.>