Transcatheter aortic valve replacement: a novel abdominal transaortic approach

Catheter Cardiovasc Interv. 2014 Mar 1;83(4):670-5. doi: 10.1002/ccd.25252. Epub 2013 Dec 4.

Abstract

Transcatheter aortic valve replacement (TAVR) via the transfemoral (TF), transapical (TA), or even the transaortic (TAO) approach in high-risk or inoperable patients is quickly becoming a safe and effective modality for the treatment of symptomatic severe aortic stenosis (AS). However, in this selected group of patients, those with anatomical or physiologic constraints preventing TF, TA, and conventional TAO TAVR, alternative sites of access must be explored. Here, we report a successful TAVR in an inoperable patient with severe AS using a distal abdominal TAO approach via a synthetic graft-conduit.

Keywords: abdominal; transaortic; transcatheter aortic valve replacement.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Abdominal / diagnostic imaging
  • Aorta, Abdominal / surgery*
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / therapy*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation*
  • Cardiac Catheterization / methods*
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Middle Aged
  • Severity of Illness Index
  • Tomography, X-Ray Computed
  • Treatment Outcome