Journal of Lipid and Atherosclerosis  2013;2(2):85-90

doi:10.12997/jla.2013.2.2.85

Transcatheter Aortic Valve Implantation Using CoreValve by Transaortic Approach.

Kyeong Hyeon CHUN 1 ; Young Guk KO ; Ji Young SHIM ; Sak LEE ; Byung Chul CHANG ; Jae Kwang SHIM ; Young Ran KWAK ; Myeong Ki HONG

Affiliations

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Keywords

Heart valve prosthesis implantation; Aortic stenosis; Vascular access devices

Country

Republic 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.