More than numbers: preprocedural multislice computed tomography analysis in a patient undergoing transcatheter aortic valve implantation. Issue 6 (11th June 2019)

• Record Type: Journal Article
• Authors: Piayda, Kerstin; Hellhammer, Katharina; Maier, Oliver; Veulemans, Verena
• Is Part Of: BMJ case reports. Volume 12:Issue 6(2019)
• Publication Date: 2019-06-11
• Subjects: cardiovascular medicine -- interventional cardiology -- valvar diseases -- radiology (diagnostics); Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-229847
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : 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.