Article Text
Abstract
This case describes the management of a woman in her 70s with severe symptomatic aortic stenosis and concomitant severe stenosis of the suprarenal abdominal aorta due to ‘coral reef’ calcification of the aortic wall and lumen (CRA). Due to her religious beliefs as a Jehovah’s Witness regarding the use of blood products, she rejected the option of surgical aortic valve replacement. Transfemoral (TF) delivery of a transcatheter aortic valve was challenged by the presence of CRA. A successful TF transcatheter aortic valve implantation (TAVI) was achieved by the treatment of the CRA with intravascular lithotripsy-assisted angioplasty, followed by delivery and deployment of a self-expanding TAVI valve.
- interventional cardiology
- valvular diseases
- interventional cardiology
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Footnotes
Contributors IPC carried out the procedure with the assistance of DC. JM wrote the paper with supervision from IC. DC reviewed the case and provided critical feedback.
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.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.