Verbesserung einer höchstgradig eingeschränkten linksventrikulären Pumpfunktion. Kathetergestützte Aortenklappppenimplantation bei einem 57 Jahre alten Patienten

With the introduction of transcatheter aortic valve implantation (TAVI), an alternative therapy to surgical aortic valve replacement exists. General guidelines for indications for TAVI procedures are still lacking.Herein, we report a 57-year-old patient with aortic valve stenosis and severely impaired left ventricular function. Twelve months after transfemoral implantation of a 29 mm Medtronic CoreValve prosthesis, left ventricular function and clinical symptoms have significantly improved. As long as no general guidelines on the indications for TAVI procedures exist, patients with aortic valve stenosis and severe comorbidities must undergo careful risk assessment and evaluation in order to offer the individual patients the therapy with the lowest risk.