Transcatheter aortic valve implantation via right carotid artery route for severe aortic regurgitation management in a patient with chronic operated type A aortic dissection.

Journal Article (Journal Article)

BACKGROUND: Transcatheter aortic valve implantation (TAVI) technique is now widely accepted as an alternative for the treatment of very high-risk patients in cases of aortic stenosis. However, use of this technique in cases of pure native aortic regurgitation (AR) remains discussed. CASE REPORT: We report the case of a 68-year-old patient with severe AR referred to our hospital 10 years after a supracoronary ascending aorta replacement surgery for acute type A aortic dissection. Because of respiratory contraindication to redo sternotomy, we treated this patient with the implantation of a CoreValve prosthesis inserted via right carotid access. We discuss the TAVI strategy in the case of severe AR and the possibility to use alternative vascular access. CONCLUSION: In very high-risk patients, TAVI can be discussed and considered as an alternative treatment for severe AR, with right carotid access proven as feasible.

Full Text

Duke Authors

Cited Authors

  • Maureira, P; Liu, Y; Stafford, N; Fiore, A; Angioi, M

Published Date

  • October 1, 2014

Published In

Volume / Issue

  • 17 / 5

Start / End Page

  • E242 - E244

PubMed ID

  • 25367234

Electronic International Standard Serial Number (EISSN)

  • 1522-6662

Digital Object Identifier (DOI)

  • 10.1532/HSF98.2014396


  • eng

Conference Location

  • United States