%0 Journal Article
%T Interdisciplinary three-step strategy to treat aortic stenosis and coronary artery disease in a patient with end-stage chronic obstructive pulmonary disease
%A Michel S
%A Bigdeli AK
%A Beiras-Fernandez A
%A Schmitz C
%A Wolf M
%A Sodian R
%A Kaczmarek I
%J Therapeutics and Clinical Risk Management
%D 2012
%I 
%R http://dx.doi.org/10.2147/TCRM.S29343
%X terdisciplinary three-step strategy to treat aortic stenosis and coronary artery disease in a patient with end-stage chronic obstructive pulmonary disease Case report (1572) Total Article Views Authors: Michel S, Bigdeli AK, Beiras-Fernandez A, Schmitz C, Wolf M, Sodian R, Kaczmarek I Published Date April 2012 Volume 2012:8 Pages 181 - 183 DOI: http://dx.doi.org/10.2147/TCRM.S29343 Received: 20 December 2011 Accepted: 28 January 2012 Published: 11 April 2012 Sebastian Michel1, Amir K Bigdeli1, Andres Beiras-Fernandez2, Christoph Schmitz1, Manuel Wolf1, Ralf Sodian1, Ingo Kaczmarek1 1Department of Cardiac Surgery, Ludwig Maximilians University of Munich, Munich, Germany; 2Department of Thoracic and Cardiovascular Surgery, Goethe University Frankfurt, Frankfurt am Main, Germany 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.
%K aortic stenosis
%K transapical aortic valve replacement
%K minimally invasive cardiac surgery
%U https://www.dovepress.com/interdisciplinary-three-step-strategy-to-treat-aortic-stenosis-and-cor-peer-reviewed-article-TCRM