Publications by authors named "Prashant Varshney"
Concomitant mitral and aortic valve stenosis in a patient with mitral annular calcification and porcelain aorta poses a unique problem to the surgical team. Transcatheter aortic and mitral valve replacements in native valves offer a viable option for such selected group of patients. We present the case of a 54-year-old male who presented with severe aortic stenosis (AS) and severe mitral stenosis (MS) but was deemed high risk for surgery owing to intense calcification of the aorta and mitral annular calcification, and successfully underwent transcatheter double native valve replacement.
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- Transcatheter aortic valve replacement (TAVR) is increasingly being used for low-risk patients, showing safe and effective outcomes when performed under conscious sedation.
- A study analyzed 105 patients who underwent minimalist TAVR via a percutaneous transfemoral approach, reporting a high success rate of 99% with low rates of complications such as all-cause mortality (0.9%) and strokes (1.9%).
- The procedure resulted in significant improvements in heart function, with a mean gradient reduction from 47.5 mmHg to 9 mmHg, and overall outcomes comparable to recent low-risk TAVR studies.