DOI: 10.1093/ehjcr/ytad622 ISSN: 2514-2119
A case report of transcatheter aortic valve replacement in a patient with Sjögren's syndrome and aortic stenosis
Zhenyu Yang, Wei Fang, Qiuhe Wang, Yan Li- Cardiology and Cardiovascular Medicine
Abstract
Background
The co-existence of Sjögren's syndrome and aortic stenosis is infrequent, and there lack cases of transcatheter aortic valve replacement (TAVR) for these patients with detailed management decision-making.
Case Summary
We report a case of a female patient who had aortic stenosis and Sjögren's syndrome with leukopenia and thrombocytopenia. To overcome coexisting hyper-coagulation and high thrombogenesis risk, difficult lifetime valve management, and high infection risk, we performed TAVR with 3D printing and formulated antithrombotic and antibiotic schemes.
Conclusion
This case provided a successful experience of TAVR in patients with Sjögren's syndrome. Long-term follow-up will be conducted, and optimization of the therapeutic regimen requires further exploration.