TY  - JOUR
A1  - Michel, Sebastian
A1  - Bigdeli, Amir Khosrow
A1  - Beiras Fernández, Andrés
A1  - Schmitz, Christoph
A1  - Wolf, Manuel
A1  - Sodian, Ralf
A1  - Kaczmarek, Ingo
T1  - Interdisciplinary three-step strategy to treat aortic stenosis and coronary artery disease in a patient with end-stage chronic obstructive pulmonary disease
T2  - Therapeutics and clinical risk management
N2  - Background: Valvular aortic stenosis is a common disease in the elderly, often in multimorbid patients. It is often associated with coronary artery disease and peripheral artery disease. In this situation, the risk of conventional open-heart surgery is too high, and other treatment strategies have to be evaluated.
Case report: A 79-year-old female patient with severe aortic stenosis, coronary artery disease and end-stage chronic obstructive pulmonary disease suffering from dyspnea at rest and permanently dependent on oxygen was treated in three steps. Firstly, her pulmonary infection was treated with antibiotics for 7 days. Then, the left anterior descending artery was stented (bare-metal stent). In the same session, valvuloplasty of the aortic valve was performed. She was sent to rehabilitation to improve her pulmonary condition and took clopidogrel for 4 weeks. Finally, she underwent transapical aortic valve replacement. She was released to rehabilitation on postoperative day 12.
Conclusion: A combination of modern interventional and minimally invasive surgical techniques to treat aortic stenosis and coronary heart disease can be a viable option for multimorbid patients with extremely high risk in conventional open-heart surgery.
KW  - aortic stenosis
KW  - transapical aortic valve replacement
KW  - minimally invasive cardiac surgery
Y1  - 2012
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/25356
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-253568
SN  - 1178-203X
SN  - 1176-6336
VL  - 8
SP  - 181
EP  - 183
PB  - Dove Medical Press
CY  - Albany, Auckland
ER  -