Transcatheter Aortic Valve Implantation (TAVI):
First Case in Thailand
Pranya Sakiyalak MD*, Worawong Slisatkorn MD*,
Suwatchai Pornratanarangsi MD**, Nattawut Wongpraparut MD**,
Decho Jakrapanichakul MD**, Kasana Raksamani MD***,
Ungkab Prakanrattana MD***, Pansak Laksanabunsong MD*
Affiliation :
* Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital,
Mahidol University, Bangkok, Thailand
** Division of Cardiology, Department of Medicine, Faculty of Medicine Siriraj Hospital,
Mahidol University, Bangkok, Thailand
*** Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Aortic valve replacement (AVR) is the standard treatment for patients with symptomatic severe aortic stenosis
(AS). However, many patients are not offered surgery due to high surgical risk for open AVR. Transcatheter aortic valve
implantation has been an alternative to open heart surgery in patients with symptomatic severe aortic stenosis (AS) who are
not suitable for open surgery. The first transcatheter aortic valve implantation in Thailand via the transapical route is
described. An 87-year-old woman with symptomatic severe AS, calcified aorta and peripheral arterial disease, who was at
high surgical risk, was successfully treated, and had good functional and haemodynamic results at six-months follow-up.
Keywords : Aortic valve stenosis, Bioprosthesis, Cardiothoracic surgery, Heart valve prosthesis implantation, Percutaneous
prosthesis implantation, Ppercutaneous transcatheter aortic valve implantation
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