Combined transapical transcatheter aortic valve implantation and premature ventricular contraction ablation in a high-risk cardiomyopathy patient: a case report.

Yu-Bin Li, Yang Wu, Chen Su, Zhong-Kai Wu, Li-Chun Wang

Abstract readCase Reports

In one paragraph

Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yu-Bin LiDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University, No. 58 Zhongshan Road 2, 510000 Guangzhou, China.

Yang WuDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University, No. 58 Zhongshan Road 2, 510000 Guangzhou, China.ORCID https://orcid.org/0000-0002-3562-7976

Chen SuDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University, No. 58 Zhongshan Road 2, 510000 Guangzhou, China.

Zhong-Kai WuDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, No. 58 Zhongshan Road 2, 510000 Guangzhou, China.

Li-Chun WangDepartment of Cardiology, The First Affiliated Hospital, Sun Yat-Sen University, No. 58 Zhongshan Road 2, 510000 Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Frequent premature ventricular contractions (PVCs) and valvular dysfunction are established contributors to worsening heart failure. Case summary: We present a 67-year-old male with dilated cardiomyopathy, severe aortic regurgitation, and unifocal left ventricle-originated PVCs (37.8% burden) refractory to guideline-directed medical therapy and cardiac devices. Due to high surgical risk, a combined transapical transcatheter aortic valve implantation and PVC ablation was performed. Postoperatively, PVCs were eliminated, left ventricular ejection fraction improved from 35% to 55%, and cardiac dimensions normalized significantly. Discussion: This case highlights the feasibility of a single apical approach for addressing both valvular and arrhythmic pathologies in high-risk patients, offering a novel strategy to mitigate heart failure progression.

Indexed as

CardiomyopathyCase reportPremature ventricular contractionsRadiofrequency ablationTransapical transcatheter aortic valve implantation

Identifiers

PMID40977933

DOI10.1093/ehjcr/ytaf441

PMCPMC12448879

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.