Korean Circ J.  2012 Nov;42(11):788-791. 10.4070/kcj.2012.42.11.788.

The First Case of Successful Transcatheter Aortic Valve Implantation Using CoreValve in Korea

• Kim IS
• Ko YG
• Shin S
• Shim JY
• Lee S
• Chang BC
• Shim JK
• Kwak YR
• Hong MK

• KMID: 2224982
• DOI: http://doi.org/10.4070/kcj.2012.42.11.788

Abstract

Surgical replacement of the aortic valve is the standard therapy for severe aortic valve stenosis. However, it is generally associated with increased mortality and morbidities in older individuals. Transcatheter aortic valve implantation (TAVI) is a less invasive procedure and has shown similar clinical outcomes as surgical treatment in elderly patients at high risk for conventional surgery. In this report, we describe the first case of TAVI using a CoreValve in Korea. An 84-year-old man with symptomatic severe aortic valve stenosis was successfully treated by transfemoral TAVI. The patient was discharged without any significant complications and remained free of adverse clinical event for a follow-up duration of 6 months.

Keyword

Aortic valve stenosis; Catheters; Heart valve prosthesis; Prosthesis implantation

MeSH Terms

Aged
Aged, 80 and over
Aortic Valve
Aortic Valve Stenosis
Catheters
Follow-Up Studies
Heart Valve Prosthesis
Humans
Korea
Prosthesis Implantation

Figure

• 

  Fig. 1 Transthoracic echocardiogram with a parasternal long axis view of the aortic valve. Sclerocalcified stenotic aortic valve before TAVI (arrow, A) and implanted CoreValve after TAVI (arrowheads, B). AV: aortic valve, LA: left atrium, LV: left ventricle, RV: right ventricle, TAVI: transcatheter aortic valve implantation.

• 

  Fig. 2 Fluoroscopic image during the implantation of the CoreValve (A) and post-procedural aortogram showing mild to moderate degree of aortic regurgitation (B).

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