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J Thorac Cardiovasc Surg 2009;137:e21-e22
© 2009 The American Association for Thoracic Surgery

Brief Communication

False aneurysm after transapical aortic valve implantation

Nawwar Al-Attar, FRCS, FETCS, PhD*, Richard Raffoul, MD, Dominique Himbert, MD, Eric Brochet, MD, Alec Vahanian, MD, FRCP, Patrick Nataf, MD

Bichat Hospital, Paris, France

Received for publication June 18, 2008; accepted for publication July 6, 2008.

* Address for reprints: Nawwar Al-Attar, FRCS, FETCS, PhD, Department of Cardiac Surgery, Hopital Bichat, 46 rue Henri Huchard, 75018 Paris, France. (Email: nalattar@gmail.com).

The first 20% of the full text of this article appears below.



Formula

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Clinical Summary

An 81-year-old man with severe aortic valve stenosis had repeated bouts of acute pulmonary edema (New York Heart Association class III). He had known triple-vessel coronary artery disease, chronic bronchitis, peripheral artery disease, and chronic atrial fibrillation. Echocardiography showed a mean gradient across a tricuspid aortic valve of 45 mm Hg with a calculated surface area of 0.38 cm2. It also showed functional mitral regurgitation (grade 2/4) with heavy calcifications of the mitral annulus and severe pulmonary hypertension (80 mm Hg). The left ventricular ejection fraction (LVEF) was calculated to be 15%. Dobutamine stress echocardiography demonstrated a mild improvement of the LVEF and some contractile reserve. The EuroSCORE and . . . [Full Text of this Article]




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