Key result
Left-transaxillary TAVI succeeds in an 80-year-old man with severe AS and a patent LIMA graft.
Demonstrates the feasibility of the left-transaxillary approach for TAVI in a patient with a patent LIMA graft when standard approaches are unsuitable.
May offer alternative access in select patients with patent LIMA grafts; hypothesis-generating and requires prospective validation before wider use.
We report the case of an 80-year-old male with severe aortic valve stenosis previously submitted to surgical myocardial revascularization with patent mammary graft treated by TAVI through left-transaxillary approach because of unsuitable transfemoral and transapical approaches.
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Taramasso et al. (2010) studied this question. Left-transaxillary transcatheter aortic valve implantation was successfully performed in an 80-year-old man with severe aortic stenosis and a patent LIMA graft.
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