Transcarotid TAVR for Severe Bicuspid Aortic Stenosis With Virtually Atretic Coarctation of the Thoracic Aorta

Robert M Tungate; Majed Chane; Jack Sun; Anil K Tiwari; Deniz Urgun; Pranav M Patel; Antonio H Frangieh

doi:10.1016/j.jscai.2024.101940

Transcarotid TAVR for Severe Bicuspid Aortic Stenosis With Virtually Atretic Coarctation of the Thoracic Aorta

J Soc Cardiovasc Angiogr Interv. 2024 Apr 11;3(6):101940. doi: 10.1016/j.jscai.2024.101940. eCollection 2024 Jun.

Authors

Robert M Tungate¹, Majed Chane^{1

2}, Jack Sun³, Anil K Tiwari⁴, Deniz Urgun⁵, Pranav M Patel¹, Antonio H Frangieh¹

Affiliations

¹ Division of Cardiology, Department of Medicine, University of California Irvine Medical Center, Orange, California.
² Fountain Valley Regional Hospital, Huntington Beach, California.
³ Division of Cardiothoracic Surgery, Department of Surgery, University of California Irvine Medical Center, Orange, California.
⁴ Department of Anesthesiology & Preoperative Care, University of California Irvine Medical Center, Orange, California.
⁵ Department of Radiological Sciences, University of California Irvine Medical Center, Orange, California.

Abstract

Transcatheter aortic valve replacement by alternate access sites allows for treatment of patients with unfavorable anatomy for a transfemoral approach. To our knowledge, we present the first reported case of successful transcatheter aortic valve replacement via the transcarotid approach in a 65-year-old man with a symptomatic severe bicuspid aortic valve stenosis and virtually atretic coarctation of the thoracic aorta.

Keywords: bicuspid aortic valve; coarctation of the aorta; congenital heart disease; transcarotid access; transcatheter aortic valve replacement.

Publication types

Case Reports