Transcatheter aortic valve implantation via the ascending aorta was successfully performed in a patient with no conventional access, resulting in only a trace of aortic insufficiency and no stenosis.
Case Report (n=1)
No
Can transcatheter aortic valve implantation be successfully performed through the ascending aorta in patients with critical aortic stenosis and no conventional access?
TAVI through the ascending aorta is a feasible alternative for patients with severe aortic stenosis who lack conventional access sites.
Retrograde transcatheter aortic valve implantation (TAVI) was successfully performed in an 80-year-old woman who had critical aortic stenosis but had no conventional access available because of severe calcifications of the femoral, iliac, and subclavian arteries. The TAVI procedure was performed with the CoreValve ReValving System. The currently available results obtained with TAVI show that such approaches provide significant clinical improvement in patients with severe aortic stenosis and unacceptable risk or contraindications for surgery. The ascending aorta approach might help to expand the implantation possibilities for those patients for whom the typical access sites are not available.
Bauernschmitt et al. (Thu,) conducted a case report in Critical aortic stenosis (n=1). Transcatheter aortic valve implantation (TAVI) via the ascending aorta was evaluated on Procedural success and valve function. Transcatheter aortic valve implantation via the ascending aorta was successfully performed in a patient with no conventional access, resulting in only a trace of aortic insufficiency and no stenosis.