title: How should I treat acute valve regurgitation?
abstract: BACKGROUND
  An 81-year-old male with symptoms of angina and dyspnoea (NYHA 3), a history of coronary bypass surgery, a transaortic peak gradient of 109 mmHg on transthoracic echocardiography and a logistic Euro-SCORE of 21.6 was deemed suboptimal for surgery by a multidisciplinary team and was accepted for TAVI.
  
  
  METHODS
  Preprocedural diameter of the native aortic root was 24.4 mm on transthoracic echocardiography (TTE), 26.9 mm on contrast angiography and 26.8 mm by 30.2 mm on multislice computed tomography (MSCT).
  
  
  METHODS
  heavy calcification of the aortic root and coronary arteries by MSCT.
  
  
  METHODS
  Transcatheter aortic calve replacement with an 29 mm CoreValve prosthesis.
authors.affiliation: Department of Cardiology, Erasmus MC Rotterdam, The Netherlands.
authors.forename: Carl
authors.initials: C
authors.lastname: Schultz
authors.forename: Nicolo
authors.initials: N
authors.lastname: Piazza
authors.forename: Annick
authors.initials: A
authors.lastname: Weustink
authors.forename: Jurgen
authors.initials: J
authors.lastname: Ligthart
authors.forename: Amber
authors.initials: A
authors.lastname: Otten
authors.forename: Peter
authors.initials: P
authors.lastname: de Jaegere
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Serruys
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male