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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2016 April;175(4):158-61

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Transcatheter aortic valve implantation with hyperdynamic “ballerina foot” pattern of left ventricular contraction

Konstantinos AZNAOURIDIS, Manolis VAVURANAKIS, Christodoulos STEFANADIS, Dimitris TOUSOULIS

1st Department of Cardiology, Athens Medical School, Hippokration Hospital, Athens, Greece


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We report a case of an 83-year-old female with symptomatic severe aortic stenosis and mitral valve prolapse, who was treated with trans-catheter aortic-valve implantation (TAVI). Due to a hyperdynamic “ballerina foot” pattern of left ventricular contraction, the extra stiff wire was repeatedly ejected from the left ventricle into the aorta at systole. Finally, the wire was stabilized after a special curvature accommodating the “ballerina foot” shape of the left ventricle at systole was made. A CoreValve bioprosthesis was then successfully implanted.

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