Organizing for power: A comparative case study

The purpose of this paper is to present a case study of two conceptually similar community organizing efforts that highlights commonalities and important differences. This study first presents a qualitative analysis of two approaches to community organizing for power. Our analysis was made possible by participation and collaboration with members of community organizations which opened the way for access to documents, events, interviews, and settings that formed the basis of our case study. We also present some quantitative data concerning participant perceptions of organizing experiences and outcomes. These data highlight important differences in community organizing approaches, differences we believe can be useful to our field as we struggle with the important concepts of empowerment and power.     

Mixed aortic valve disease treated with transcatheter aortic valve replacement in a high risk patient presenting with acute decompensated heart failure

Mixed aortic valve disease refers to the combination of aortic regurgitation (AR) and aortic stenosis (AS). Commonly etiologies include a bicuspid aortic valve, rheumatic heart disease, and endocarditis superimposed upon a stenotic aortic valve. Treatment depends upon the severity of disease, the presence of symptoms and the size and function of the left ventricle. We present a case of a young patient that presented with new onset acute decompensated heart failure with mixed aortic valve disease that was successful treated with transcatheter aortic valve replacement (TAVR). Invasive hemodynamics at baseline and following TAVR provide an insight into the characteristic features of mixed aortic valve disease. TAVR represents a new treatment option for critically ill patients deemed high risk or nonoperable for surgical aortic valve replacement.