Abstract
An 82-year-old lady with prior coronary artery bypass grafting presented with syncope. Echocardiography revealed severe aortic stenosis (peak gradient 165 mmHg, mean gradient 77 mmHg). The patient was at high risk for surgical aortic valve replacement in view of her ‘porcelain’ calcified aorta identified by CT ( Panel A ). Trans-catheter aortic valve implantation techniques were discounted …
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