Case Report: Lithoplasty-Assisted Trans-Axillary Transcatheter Aortic Valve-in-Valve Implantation

Alfredo Giuseppe Cerillo; Matteo Pennesi; Luisa Iannone; Giorgia Giustini; Paolo de Cillis; Renato Valenti; Niccolò Marchionni; Pierluigi Stefano

doi:10.3389/fcvm.2021.747588

Case Report: Lithoplasty-Assisted Trans-Axillary Transcatheter Aortic Valve-in-Valve Implantation

Front Cardiovasc Med. 2021 Oct 20:8:747588. doi: 10.3389/fcvm.2021.747588. eCollection 2021.

Authors

Alfredo Giuseppe Cerillo¹, Matteo Pennesi², Luisa Iannone¹, Giorgia Giustini¹, Paolo de Cillis¹, Renato Valenti², Niccolò Marchionni^{3

4}, Pierluigi Stefano^{1

4}

Affiliations

¹ Unit of Cardiac Surgery, Careggi University Hospital, Florence, Italy.
² Interventional Cardiology, Careggi University Hospital, Florence, Italy.
³ General Cardiology, Careggi University Hospital, Florence, Italy.
⁴ Department of Clinical and Experimental Medicine, University of Florence School of Medicine, Florence, Italy.

Abstract

We present the case of a severely symptomatic patient with a malfunctioning aortic bioprosthesis and severe multidistrict atherosclerosis that was addressed to our unit for transcatheter valve-in-valve implantation. The imaging and clinical assessment that led to the selection of the access route is discussed.

Keywords: multi-district atherosclerosis; redo cardiac surgery; shockwave; trans-subclavian approach; transcatheter aortic valve implantation (TAVI).

Publication types

Case Reports