Transapical angiography in a patient with severe aortic stenosis undergoing transapical transcatheter aortic valve implantation

Ann Thorac Surg. 2013 Dec;96(6):e151-3. doi: 10.1016/j.athoracsur.2013.07.064.

Abstract

Transapical transcatheter aortic valve implantation (TA-TAVI) is the method of choice in patients with severe stenosis of the aortic valve, high operative risk, and an adverse peripheral vasculature. The procedure is generally guided by peripheral arterial access angiography. We report on a 71-year-old patient in whom, because of the absence of an alternative peripheral arterial access route, TA-TAVI was supported by the apical insertion of the angiography catheter. This approach was effective and safe, and proper valve deployment was feasible without unexpected procedural complications.

Keywords: 35.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Cardiac Catheterization / methods*
  • Echocardiography, Transesophageal
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Prosthesis Design
  • Severity of Illness Index
  • Tomography, X-Ray Computed