An elderly female patient, with systemic multiple organ dysfunction, suffered from severe aortic valve stenosis, was to undergo transcatheter aortic valve replacement (TAVR). She was intolerance of the computed tomography examination before surgery. Bedside echocardiography was employed to evaluate the patient’s aortic valve stenosis, valve anatomy and type, the condition of aortic root, the distance from coronary to aortic root, and lower-extremity vascular access. Finally, the emergent TAVR was successfully performed under general anesthesia, and the aortic valve trans-prosthetic gradient met a remarkable decrease after surgery.
Citation： LI Jianghua, LI Tangzhiming, LIU Cheng, LIU Qiyun, LIU Huadong, DONG Shaohong. Emergent transcatheter aortic valve replacement under ultrasound guidance without CT angiography analysis: a case report. West China Medical Journal, 2020, 35(9): 1127-1130. doi: 10.7507/1002-0179.202002414 Copy