• Asian Cardiovasc Thorac Ann · Oct 2014

    Case Reports

    Direct aortic transcatheter valve implantation in a porcelain aorta.

    • Giuseppe Bruschi, Luca Botta, Federico De Marco, Paola Colombo, Silvio Klugmann, and Luigi Martinelli.
    • A De Gasperis Cardiology & Cardiac Surgery Department, Niguarda Ca' Granda Hospital, Milan, Italy giuseppe.bruschi@fastwebnet.it.
    • Asian Cardiovasc Thorac Ann. 2014 Oct 1; 22 (8): 968-71.

    AbstractTranscatheter aortic valve implantation has been designed to treat elderly patients with severe aortic stenosis at high risk for surgery, and is generally performed retrogradely with vascular access. However, in certain patients, this access is either not possible or deemed to carry a high risk of vascular injury. We report our experience of a direct aortic approach in a 78-year old man with severe aortic stenosis, excluded from standard aortic valve replacement due to a porcelain aorta, and affected by severe aortic, iliac-femoral, and subclavian arteriopathy, rendering the transfemoral or subclavian approach unemployable. © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

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