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Revista mexicana de cardiología
versión impresa ISSN 0188-2198
Resumen
ESCUTIA-CUEVAS, Héctor Hugo et al. TAVI in Intermediate-risk patients: a review in purpose of a case. Rev. Mex. Cardiol [online]. 2018, vol.29, n.2, pp.102-111. ISSN 0188-2198.
Background:
Aortic stenosis is the most common valvular heart disease worldwide. The prognosis is adverse without a valve replacement. Transcatheter aortic valve implantation (TAVI) has proven to be an effective treatment in high-surgical risk patients. Recent trials have highlighted the non-inferiority of TAVI compared with open surgery in patients with intermediate surgical risk.
Case report:
A 76-year-old man with severe aortic stenosis and intermediate surgical risk (STS-PROM 4.8%) who underwent TAVI with no complications.
Results:
Hospital discharge was decided five days after the procedure and continued outpatient follow-up. After two years remains in NYHA functional class I with a normofunctional percutaneous prosthesis.
Conclusion:
As this clinical case shows, TAVI has proven to be an effective treatment in patients with aortic stenosis and intermediate surgical risk. This is the first experience in this type of patients reported in our country.
Palabras llave : Aortic valve replacement; TAVR; TAVI; intermediate-risk.
