title: Emergency percutaneous aortic valve replacement in a patient with a cervical spine fracture secondary to critical aortic stenosis.
abstract: An 81 year-old female with severe aortic stenosis was admitted electively to determine her anatomic suitability for trans-catheter aortic valve implantation (TAVI). Transthoracic echocardiogram prior to referral confirmed critical aortic stenosis with a mean transaortic valve gradient of 106mmHg, aortic valve area (AVA) 0.6cm(2) and dimensionless index (DI) 0.18. She reported a significant symptom burden with New York Heart Association Class III dyspnoea, four episodes of syncope in the month prior to admission and exertional chest pain.
authors.affiliation: MonashHEART and Monash Cardiovascular Research Centre, Department of Medicine (Monash Medical Centre), Monash University, Monash Health, Clayton, VIC, Australia.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Gutman
authors.affiliation: MonashHEART and Monash Cardiovascular Research Centre, Department of Medicine (Monash Medical Centre), Monash University, Monash Health, Clayton, VIC, Australia.
authors.forename: Robert
authors.initials: R
authors.lastname: Gooley
authors.affiliation: MonashHEART and Monash Cardiovascular Research Centre, Department of Medicine (Monash Medical Centre), Monash University, Monash Health, Clayton, VIC, Australia.
authors.forename: Ian T
authors.initials: IT
authors.lastname: Meredith
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D004452:Echocardiography; D004632:Emergency Medical Services; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Aortic stenosis; Cardiac arrest; Echocardiography; Syncope; Transcatheter aortic valve implantation