Transcatheter Aortic Valve Implantation by Transfemoral Approach in a Patient with Bilateral Iliac Artery Disease.
- Author:
Dong Jun LEE
1
;
Young Guk KO
;
Ji Young SHIM
;
Byung Chul CHANG
;
Young Ran KWAK
;
Myeong Ki HONG
;
Yangsoo JANG
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. mkhong61@yuhs.ac
- Publication Type:Case Report
- Keywords:
Aortic valve stenosis;
Peripheral arterial disease;
Heart valve prosthesis;
Transcatheter aortic valve implantation
- MeSH:
Aged;
Angioplasty, Balloon;
Aorta;
Aortic Valve;
Aortic Valve Stenosis;
Constriction, Pathologic;
Coronary Artery Bypass;
Heart Valve Prosthesis;
Humans;
Iliac Artery;
Peripheral Arterial Disease;
Prevalence;
Thoracotomy;
Transplants
- From:Korean Journal of Medicine
2013;85(2):188-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transcatheter aortic valve implantation (TAVI) is an alternative treatment modality for surgical aortic valve replacement in patients at high surgical risk. Transfemoral access is not feasible in many cases with unfavorable iliofemoral anatomy or severe peripheral arterial disease (PAD). Elderly patients with severe aortic valve stenosis have a higher prevalence of PAD due to atherosclerotic degenerative changes in the large and small vessels. Transsubclavian, transapical, and direct access to the ascending aorta by thoracotomy are alternative routes for the TAVI procedure. In this case, we describe a patient with a previous coronary artery bypass graft and bilateral iliac artery stenosis who successfully underwent TAVI using a CoreValve(R) by transfemoral approach after balloon angioplasty of iliac artery stenosis.
