case_images: PMC3420130_01
case_images: Severe aortic valve stenosis.
case_images: CRIM2012-946764.001.jpg
case_images: PMC3420130_01_CRIM2012-946764.001.jpg
case_images: fig1
case_images: Considering the significant ejection rough murmur a transthoracic echocardiogram was performed that revealed the presence of severe degenerative aortic valve stenosis (mean gradient 58 mmHg, maximum gradient 104 mmHg, aortic valve area 0.7 cm2) (Figure 1).
case_images: The site of angiodysplasia between the first and the second portion of the duodenum.
case_images: CRIM2012-946764.002.jpg
case_images: PMC3420130_01_CRIM2012-946764.002.jpg
case_images: fig2
case_images: A 5 mm slightly elevated angiodysplasia was found between the first and the second portion of the duodenum (Figure 2).
case_images: Aortic valvuloplasty.
case_images: CRIM2012-946764.003.jpg
case_images: PMC3420130_01_CRIM2012-946764.003.jpg
case_images: fig3
case_images: TAVI we preferred, in the first instance, to perform only a balloon aortic valvuloplasty (BAV). The aortic valvuloplasty was successfully performed 15 days after hospitalization (Figure 3) with a significant mean aortic gradient reduction from 58 mmHg to 22 mmHg, without any GI bleeding until the discharge.