Transcatheter Aortic Valve Implantation Using CoreValve by Transaortic Approach.
- Author:
Kyeong Hyeon CHUN
1
;
Young Guk KO
;
Ji Young SHIM
;
Sak LEE
;
Byung Chul CHANG
;
Jae Kwang SHIM
;
Young Ran KWAK
;
Myeong Ki HONG
Author Information
- Publication Type:Case Report
- Keywords: Heart valve prosthesis implantation; Aortic stenosis; Vascular access devices
- MeSH: Aged, 80 and over; Aortic Valve Stenosis; Aortic Valve*; Female; Heart Valve Prosthesis Implantation; Humans; Myocardial Infarction; Vascular Access Devices
- From:Journal of Lipid and Atherosclerosis 2013;2(2):85-90
- CountryRepublic of Korea
- Language:English
- Abstract: INTRODUCTION: Transcatheter aortic valve implantation (TAVI) is now considered as an alternative treatment option for severe aortic stenosis (AS) patients who cannot undergo surgical aortic valve replacement (AVR). CASE REPORT: We describe the first Korean case of transaortic TAVI with mini-sternotomy using CoreValve. A 83-year-old woman with severe AS and recent history of non-ST elevation myocardial infarction was referred to our institution for TAVI intervention. There was no amenable peripheral vascular access for transfemoral or trans-subclavian approach. Considering the relatively high procedural risk of transapical approach in this patient, we performed transaortic TAVI with mini-sternotomy. CONCLUSION: The present case suggests transaortic approach may be an effective and safe strategy for TAVI in high risk severe AS patients without eligible femoral or subclavian access routes.
