• Medicina · Feb 2022

    Case Reports

    Trans-Apical Transcatheter Aortic Valve Replacement in a Dialysis Patient with Systolic Heart Failure.

    • Akira Oshima, Teruhiko Imamura, Hiroshi Onoda, Yohei Ueno, Ryuichi Ushijima, Mitsuo Sobajima, Nobuyuki Fukuda, Shigeki Yokoyama, Toshio Doi, Kazuaki Fukahara, Hiroshi Ueno, and Koichiro Kinugawa.
    • The Second Department of Internal Medicine, University of Toyama, Toyama 930-0194, Japan.
    • Medicina (Kaunas). 2022 Feb 24; 58 (3).

    AbstractMortality and morbidity remain high following transcatheter aortic valve replacement (TAVR) in dialysis patients or those with low left ventricular ejection fraction. Therapeutic strategy for those with these comorbidities remains unestablished. We had a dialysis patient with peripheral artery disease and low left ventricular ejection fraction, who received successfully scheduled trans-apical TAVR following sufficient reverse remodeling by 3-month optimal medical therapy. Our strategy should be validated in a larger robust cohort.

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