| December 2019 | Percutaneous coronary intervention (PCI) for circumflex artery was performed in another hospital |
| February 2020 | PCI for left anterior descending artery was performed in another hospital. Ventricular septal defect (VSD) was found, but no further test and treatment were performed as the patient was asymptomatic |
| 5 April–29 April 2022 | The patient was admitted to our hospital due to heart failure (HF). Low-flow and low-gradient type severe aortic stenosis and membranous VSD were found in echocardiogram. HF improved after diuretics and medical therapy and discharged home. Cardiac computed tomography and trans-oesophageal echocardiogram revealed a sub-aortic band and a double-chambered right ventricle in addition to severely calcified aortic valve and VSD. Coronary angiogram identified no significant stenosis, and the right heart catheterization showed pulmonary hypertension, pressure gradient inside of right ventricle (50 mmHg), and significantly elevated Qp/Qs (1.90) |
| 28 May 2022 | Trans-catheter aortic valve implantation was performed. The right heart catheterization showed Qp/Qs improved to 1.2. Pulmonary artery systolic pressure was improved from 53 to 25 mmHg |
| 4 June 2022 | He became asymptomatic and discharged home after rehabilitation |
| 23 July 2022 | He is independent in his daily life |
| December 2019 | Percutaneous coronary intervention (PCI) for circumflex artery was performed in another hospital |
| February 2020 | PCI for left anterior descending artery was performed in another hospital. Ventricular septal defect (VSD) was found, but no further test and treatment were performed as the patient was asymptomatic |
| 5 April–29 April 2022 | The patient was admitted to our hospital due to heart failure (HF). Low-flow and low-gradient type severe aortic stenosis and membranous VSD were found in echocardiogram. HF improved after diuretics and medical therapy and discharged home. Cardiac computed tomography and trans-oesophageal echocardiogram revealed a sub-aortic band and a double-chambered right ventricle in addition to severely calcified aortic valve and VSD. Coronary angiogram identified no significant stenosis, and the right heart catheterization showed pulmonary hypertension, pressure gradient inside of right ventricle (50 mmHg), and significantly elevated Qp/Qs (1.90) |
| 28 May 2022 | Trans-catheter aortic valve implantation was performed. The right heart catheterization showed Qp/Qs improved to 1.2. Pulmonary artery systolic pressure was improved from 53 to 25 mmHg |
| 4 June 2022 | He became asymptomatic and discharged home after rehabilitation |
| 23 July 2022 | He is independent in his daily life |
| December 2019 | Percutaneous coronary intervention (PCI) for circumflex artery was performed in another hospital |
| February 2020 | PCI for left anterior descending artery was performed in another hospital. Ventricular septal defect (VSD) was found, but no further test and treatment were performed as the patient was asymptomatic |
| 5 April–29 April 2022 | The patient was admitted to our hospital due to heart failure (HF). Low-flow and low-gradient type severe aortic stenosis and membranous VSD were found in echocardiogram. HF improved after diuretics and medical therapy and discharged home. Cardiac computed tomography and trans-oesophageal echocardiogram revealed a sub-aortic band and a double-chambered right ventricle in addition to severely calcified aortic valve and VSD. Coronary angiogram identified no significant stenosis, and the right heart catheterization showed pulmonary hypertension, pressure gradient inside of right ventricle (50 mmHg), and significantly elevated Qp/Qs (1.90) |
| 28 May 2022 | Trans-catheter aortic valve implantation was performed. The right heart catheterization showed Qp/Qs improved to 1.2. Pulmonary artery systolic pressure was improved from 53 to 25 mmHg |
| 4 June 2022 | He became asymptomatic and discharged home after rehabilitation |
| 23 July 2022 | He is independent in his daily life |
| December 2019 | Percutaneous coronary intervention (PCI) for circumflex artery was performed in another hospital |
| February 2020 | PCI for left anterior descending artery was performed in another hospital. Ventricular septal defect (VSD) was found, but no further test and treatment were performed as the patient was asymptomatic |
| 5 April–29 April 2022 | The patient was admitted to our hospital due to heart failure (HF). Low-flow and low-gradient type severe aortic stenosis and membranous VSD were found in echocardiogram. HF improved after diuretics and medical therapy and discharged home. Cardiac computed tomography and trans-oesophageal echocardiogram revealed a sub-aortic band and a double-chambered right ventricle in addition to severely calcified aortic valve and VSD. Coronary angiogram identified no significant stenosis, and the right heart catheterization showed pulmonary hypertension, pressure gradient inside of right ventricle (50 mmHg), and significantly elevated Qp/Qs (1.90) |
| 28 May 2022 | Trans-catheter aortic valve implantation was performed. The right heart catheterization showed Qp/Qs improved to 1.2. Pulmonary artery systolic pressure was improved from 53 to 25 mmHg |
| 4 June 2022 | He became asymptomatic and discharged home after rehabilitation |
| 23 July 2022 | He is independent in his daily life |
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