Author/Authors :
Fennelly, Evelyn Department of Cardiology - University Hospital Galway, Galway, Ireland , Lee, Marcus Department of Cardiology - University Hospital Galway, Galway, Ireland , Da Costa, Mark Department of Cardiothoracic Surgery - University Hospital Galway, Galway, Ireland , Sultan, Sherif Department of Vascular Surgery - University Hospital Galway, Galway, Ireland , Sharif, Faisal Department of Cardiology - University Hospital Galway, Galway, Ireland , Mylotte, Darren Department of Cardiology - University Hospital Galway, Galway, Ireland
Abstract :
Transcatheter aortic valve implantation (TAVI) has emerged as the standard of care for older patients with symptomatic severe
aortic stenosis (AS) at high or excessive operative risk. ,ere remain patients that are of such considerable risk that even TAVI can
be futile. Such patients present ethical conundrums for institutional heart teams. Herein we present a case of a 90-year-old female
patient with symptomatic severe AS and significant comorbidities including diffuse peripheral vascular disease and a large
ascending aortic aneurysm. Would TAVI be utile or futile in this patient?
