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The Mount Sinai Hospital

1468 Madison Avenue, New York,
New York 10029

Transfemoral TAVR Evolut Pro 26mm and Sentinel Cerebral Protection

Miscellaneous Structural

93 year old female presented with progressive dyspnea (NYHA Class III). Past medical history is significant for CAD (s/p PCI to LAD in 2016), hypertension, hypercholesterolaemia and aortic stenosis under surveillance. Recent echocardiogram revealed progression to severe aortic stenosis (PG/MG/AVA 92mmHg/51mmHg/0.74cm2) and LVEF of 68%. CT angiogram revealed > 6mm diameter of bilateral common iliac arteries and aortic annulus of 22x18mm (average 20.5m) with annular perimeter of 67mm. STS mortality risk for surgical AVR was 10.1% and the logistic Euroscore mortality risk was 17.1%. Patient underwent surgical evaluation and was found to be at high risk for SAVR. Now presented for percutaneous transfemoral TAVR with Evolut-Pro 26mm valve and Sentinel cerebral protection device.


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