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Doi S, Kasai T, Yatsu S, Miyazaki S, Fujimoto S, Okazaki S, Dohi S, Kuwaki K, Amano A, Daida H. Changes in polysomnographic findings following transcatheter aortic valve implantation in a patient with aortic stenosis. J Cardiol Cases 2020; 21:75-78. [PMID: 32042360 DOI: 10.1016/j.jccase.2019.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Revised: 09/21/2019] [Accepted: 09/25/2019] [Indexed: 10/25/2022] Open
Abstract
Patients with aortic stenosis (AS) are likely to have sleep-disordered breathing (SDB) and improvements in AS by transcatheter or surgical aortic valve replacement alter the type and severity of SDB. However, limited data are available whether polysomnographic findings changed following transcatheter aortic valve implantation (TAVI). In this report, we describe the case of a patient with severe AS and SDB whose polysomnographic findings showed that after TAVI, sleep disturbances occurred in association with worsened periodic leg movements despite improvement in the SDB. <Learning objectives: Patients with aortic stenosis often have sleep-disordered breathing (SDB) which can be improved following transcatheter aortic valve implantation (TAVI). However, no studies assessed SDB by polysomnography before and after TAVI. Following TAVI, our case revealed sleep disturbances associated with worsened periodic leg movements (PLM) despite improvement of SDB. Therefore, polysomnography may be considered following TAVI to detect residual SDB and sleep disturbance in association with PLM.>.
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Affiliation(s)
- Shinichiro Doi
- Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
| | - Takatoshi Kasai
- Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan.,Cardiovascular Respiratory Sleep Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.,Sleep and Sleep-Disordered Breathing Center, Juntendo University Hospital, Tokyo, Japan
| | - Shoichiro Yatsu
- Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
| | - Sakiko Miyazaki
- Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
| | - Shinichiro Fujimoto
- Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
| | - Shinya Okazaki
- Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
| | - Shizuyuki Dohi
- Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, Japan
| | - Kenji Kuwaki
- Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, Japan
| | - Atsushi Amano
- Sleep and Sleep-Disordered Breathing Center, Juntendo University Hospital, Tokyo, Japan.,Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, Japan
| | - Hiroyuki Daida
- Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
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