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What is the Aortic Valve Pathology?

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Dr Ihab Suliman

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15,307 görüntüleme • 3 ay önce •via X (Twitter)

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What is the Pathology?
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#TAVR Bumper Technique This is something I’ve been doing and it makes crossing the aortic valve easy without pre BAV. After final valve assembly in descending aorta, roll contrast into the nose cone to create the bumper. 1. Reduces scraping in aorta. 2. Crosses like butter!
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#TAVR Bumper Technique This is something I’ve been doing and it makes crossing the aortic valve easy without pre BAV. After final valve assembly in descending aorta, roll contrast into the nose cone to create the bumper. 1. Reduces scraping in aorta. 2. Crosses like butter!

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Device embolization is a rare but potentially life-threatening complication of #TAVR procedures. In this #JACCINT case, the very dilated aortic root permitted valve inversion, which was successfully conservatively managed. Learn more:
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Device embolization is a rare but potentially life-threatening complication of #TAVR procedures. In this #JACCINT case, the very dilated aortic root permitted valve inversion, which was successfully conservatively managed. Learn more:

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Guess what is the aortic problem? It’s not an aortic aneurysm. Preop CTA attached in the thread. Yellow loop for ureters, blue for LRV, reds for left common iliac and Right external & internal iliac arteries. #aortaEd
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Guess what is the aortic problem? It’s not an aortic aneurysm. Preop CTA attached in the thread. Yellow loop for ureters, blue for LRV, reds for left common iliac and Right external & internal iliac arteries. #aortaEd

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For fellows. This patient had bicuspid aortic valve and severe AS planned for surgery. 10-15% pts with BAV may have coarctation also. What are the added physical finding you search for coarctation in a given case of severe AS, whatever be the age of the patient.
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For fellows. This patient had bicuspid aortic valve and severe AS planned for surgery. 10-15% pts with BAV may have coarctation also. What are the added physical finding you search for coarctation in a given case of severe AS, whatever be the age of the patient.

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We recently performed a successful #TAVR in a frail 79-year-old lady weighing just 35kg, with severe aortic valve stenosis with severe left ventricular dysfunction (EF 20%) at Kauvery Hospital, Marathahalli. She did develop some rhythm issues and also had to undergo a permanent pacemaker implantation after a day. We were able to discharge her after 4 days. Prior to this, she was suffering from frequent breathing issues and heart failure, leading to multiple hospitalizations. #medtwitter TAVR (transcatheter aortic valve replacement) is an effective alternative to patients who can not undergo open heart valve replacement due to high surgical risk.
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The sub diaphragmatic aorta totally exposed by left visceral rotation. #aortaEd Left kidney is fully mobilized to allow kidney up or down aortic endarterectomy. Aortic coral reef: Hypertension, Chronic Mesenteric Ischemia and CLI
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Ever wonder what an in-situ Amplatzer plug and hole in a bioprosthetic valve looks like? The minimal amount of endothelialization on the plug is interesting.
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