PMC3420130_01
Severe aortic valve stenosis.
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fig1
Considering the significant ejection rough murmur a transthoracic echocardiogram was performed that revealed the presence of severe degenerative aortic valve stenosis (mean gradient 58 mmHg, maximum gradient 104 mmHg, aortic valve area 0.7 cm2) (Figure 1).
The site of angiodysplasia between the first and the second portion of the duodenum.
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fig2
A 5 mm slightly elevated angiodysplasia was found between the first and the second portion of the duodenum (Figure 2).
Aortic valvuloplasty.
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fig3
TAVI we preferred, in the first instance, to perform only a balloon aortic valvuloplasty (BAV). The aortic valvuloplasty was successfully performed 15 days after hospitalization (Figure 3) with a significant mean aortic gradient reduction from 58 mmHg to 22 mmHg, without any GI bleeding until the discharge.