Transcatheter aortic valve replacement - Therapeutical option in a patient with complex heart disease

Authors are presenting a case report describing diagnostic and therapeutic approach in patient with severe dyspnoea. The dominant cause of the symptoms was combined aortic valve disease and monstrous obesity. The other findings were combined mitral valve disease and provoked midventricular obstruction of the left ventricle. A complex cardiac surgery was not recommended due to the aortic valve annulus size, massive calcification of both mitral and aortic valves and extreme obesity resulting in a high risk of perioperative mortality. As an alternative approach, the transcatheter aortic valve replacement procedure (TAVR) was performed. In a very difficult terrain, the maximum possible result was finally reached - a considerable decrease of dyspnoea and reduction of midventricular obstruction. This case reports additional application for transcatheter stent bioprosthesis in patients with complex cardiac disease.