Mobile mass lesion in the aorta after transcatheter aortic valve implantation: Thrombus or residue calcification

Öztürk, Cengiz; Demırkol, Sait; Demır, Mustafa; Yıldırım, Ali Osman; Balta, Şevket; Çelik, Turgay; İyisoy, Atila

doi:10.1016/j.ijcard.2015.06.155

Cited by 10 publications

(3 citation statements)

References 7 publications

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“…But there are other susp10cious etiologic reasons that lead to coronary embolism such as intra-cardiac prosthesis, infective endocarditis, mural thrombus or a cardiac tumor [1][2][3][4][5][6][7]. Even if the patient did not use warfarin, the real reason for acute myocardial infarction whether embolism or atherosclerotic plaque ruptures should be revealed in order to decide optimal treatment option.…”

Section: Sub-acute Anterior Myocardial Infarction Due To the Discontimentioning

confidence: 99%

Sub-acute anterior myocardial infarction due to the discontinuation of warfarin in a patient with aortic valve prosthesis: what is the best treatment

Öztürk¹,

Çelik²,

Balta³

et al. 2016

ica

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Section: Sub-acute Anterior Myocardial Infarction Due To the Discontimentioning

confidence: 99%

Sub-acute anterior myocardial infarction due to the discontinuation of warfarin in a patient with aortic valve prosthesis: what is the best treatment

Öztürk¹,

Çelik²,

Balta³

et al. 2016

ica

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“…Acute myocardial infarction (MI) is a common entity in patients due to the atherosclerotic plaque rupture. But there are other susp10cious etiologic reasons that lead to coronary embolism such as intra-cardiac prosthesis, infective endocarditis, mural thrombus or a cardiac tumor [1][2][3][4][5][6][7]. Even if the patient did not use warfarin, the real reason for acute myocardial infarction whether embolism or atherosclerotic plaque ruptures should be revealed in order to decide optimal treatment option.…”

Section: Sub-acute Anterior Myocardial Infarction Due To the Discontimentioning

confidence: 99%

Sub-acute anterior myocardial infarction due to the discontinuation of warfarin in a patient with aortic valve prosthesis: what is the best treatment

Öztürk¹,

Çelik²,

Balta³

et al. 2016

ica

Self Cite

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“…The transcatheter aortic valve implantation(TAVI) is now feasable and effective gold standart treatment option in patients with severe aortic valve stenosis (AS) and associated with similar rate of major adverse events compared to the surgery [1][2][3][4][5][6][7][8]. The relation between aortic stenosis and gastrointestinal angiodysplasia was known as Heyde's Syndrome since 1958.…”

mentioning

confidence: 99%

Severe Gastrointestinal Bleeding due to Angiodysplasia after Transcatheter Aortic Valve Implantation in a Patient with High Frailty; What about Antiplatelet and Anticoagulant Therapy

Öztürk¹,

Çelik²,

Yıldırım³

et al. 2016

ICFJ

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Dear Editor, Severe aortic stenosis is associated with significant morbidity and mortality if untreated. The transcatheter aortic valve implantation(TAVI) is now feasable and effective gold standart treatment option in patients with severe aortic valve stenosis (AS) and associated with similar rate of major adverse events compared to the surgery [1][2][3][4][5][6][7][8]. The relation between aortic stenosis and gastrointestinal angiodysplasia was known as Heyde's Syndrome since 1958. High fluid shear stress through the narrowed valve is thought to be the underlying mechanism leads to the mechanical disruption of the large von Willebrand factor multimers. Aortic valve replacement either surgical or with TAVI seems to reduce gastrointestinal bleeding in approximately 80% in patients with Heyde syndrome in whom gastrointestinal bleeding is associated with intestinal angiodysplasia due to acquired von Willebrand's disease (type 2A) and aortic valve stenosis. The patients especially with atrial fibrillation who need anticoagulant therapy may have bleeding risk despite aortic valve replacement [9][10][11][12][13][14][15][16][17][18][19][20]. We report a case of patient presenting with a massive intestinal bleeding originating from intestinal angiodysplasia after percutaneous aortic valve replacement.Herein, we report a case of a 76-year-old man with massive gastrointestinal bleeding after successful TAVI procedure due to the triple therapy(acetylsalicylic acid-100 mg, clopidogrel-75 mg and apixaban -2x2.5 mg). The patient was admitted to our hospital because of severe and symptomatic coronary artery [left anterior descending artery(LAD)] and aortic valve stenosis. The patient had also hypertension, diabetes, chronic atrial fibrillation, dyspnea(functional class II-III) and syncope on his medical history. On physical examination, the arterial blood pressure was 110/70 mm Hg, the pulse was 76 bpm and irregular. There was a 3/6 systolic murmur on the right sternal border radiating to the right side of the neck. The peripheral arterial pulses were weak. There was high voltage criteria and atrial fibrillation on his surface electrocardiography. There was significant and calcific stenosis on LAD with coronary angiography and computed tomography angiography (Fig.1). On thoracic echocardiography, there were severe left ventricular hypertrophy, severe left ventricular dysfunction and global hypokinesia and left ventricular ejection fraction(LVEF) was 26%. Aortic valve was severely calcific and aortic valve area was 0,6 cm2. Aortic valve maximal/mean pressure gradient: 47/30 mm. In order to detect the severity of the

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Mobile mass lesion in the aorta after transcatheter aortic valve implantation: Thrombus or residue calcification

Cited by 10 publications

References 7 publications

Sub-acute anterior myocardial infarction due to the discontinuation of warfarin in a patient with aortic valve prosthesis: what is the best treatment

Sub-acute anterior myocardial infarction due to the discontinuation of warfarin in a patient with aortic valve prosthesis: what is the best treatment

Sub-acute anterior myocardial infarction due to the discontinuation of warfarin in a patient with aortic valve prosthesis: what is the best treatment

Severe Gastrointestinal Bleeding due to Angiodysplasia after Transcatheter Aortic Valve Implantation in a Patient with High Frailty; What about Antiplatelet and Anticoagulant Therapy

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