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Case Reports
. 2016 Mar 18:2016:bcr2015214268.
doi: 10.1136/bcr-2015-214268.

Dawn of a new era: the completely interventionally treated patient

Alexander Kypta  1 , Hermann Blessberger  2 , Michael Lichtenauer  3 , Clemens Steinwender  2
Affiliations
Case Reports

Dawn of a new era: the completely interventionally treated patient

Alexander Kypta et al. BMJ Case Rep. .

Abstract

A frail 75-year-old woman with permanent atrial fibrillation and angina pectoris was admitted to our department for further evaluation. Echocardiography revealed concurrent severe aortic valve stenosis. Furthermore, significant coronary artery stenoses were identified on the coronary angiogram. We chose the following treatment strategy: first, two drug eluting stents were implanted successfully in the left anterior descending and circumflex artery, respectively. Second, a 23 mm Core Valve bioprosthesis (Medtronic Inc, Minneapolis, Minnesota, USA) was implanted without complications within the same session. Two weeks after hospital discharge, the patient showed up at our outpatient department, with a symptomatic complete atrioventricular-block with an escape rhythm of 35 bpm. Thus, finally, a leadless pacemaker Micra (Medtronic Inc) was implanted via a transvenous transfemoral access without any complications.

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Figures

Figure 1
Figure 1
ECG (A) before and (B) after Micra implantation.
Figure 2
Figure 2
Postinterventional X-ray.
See this image and copyright information in PMC

References

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