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Case Reports in Cardiology
Volume 2018, Article ID 5434953, 5 pages
https://doi.org/10.1155/2018/5434953
Case Report

Transcatheter Aortic Valve Implantation in a Nonagenarian with Aortic Aneurysm: Futility or Utility?

1Department of Cardiology, University Hospital Galway, Galway, Ireland
2Department of Cardiothoracic Surgery, University Hospital Galway, Galway, Ireland
3Department of Vascular Surgery, University Hospital Galway, Galway, Ireland

Correspondence should be addressed to Darren Mylotte; moc.liamg@ettolymnerrad

Received 16 August 2017; Accepted 24 October 2017; Published 1 February 2018

Academic Editor: Hajime Kataoka

Copyright © 2018 Evelyn Fennelly et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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. There 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?