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More than numbers: preprocedural multislice computed tomography analysis in a patient undergoing transcatheter aortic valve implantation
  1. Kerstin Piayda,
  2. Katharina Hellhammer,
  3. Oliver Maier and
  4. Verena Veulemans
  1. Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany
  1. Correspondence to Dr. Kerstin Piayda, kerstin.piayda{at}


Multislice computed tomography (MSCT) has emerged as an integral part of patient evaluation in transcatheter aortic valve implantation (TAVI). Beyond sizing, it offers valuable information especially in challenging anatomies and helps to provide accurate dimensions and highlight potential pitfalls. We present the case of a 94-year-old woman with a coronary anomaly who was initially scheduled for TAVI. Based on MSCT scan and clinical evaluation we decided to perform a less invasive approach. In this setting MSCT evaluation allowed an appropriate benefit-risk assessment and substantially influenced the interventional strategy.

  • cardiovascular medicine
  • interventional cardiology
  • valvar diseases
  • radiology (diagnostics)
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  • Contributors KP and VV analysed the patient information and wrote the manuscript. KH and OM were involved in direct patient care and revised the manuscript for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Not required.

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