Transcatheter aortic valve implantation via right carotid artery route for severe aortic regurgitation management in a patient with chronic operated type A aortic dissection.
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.
Duke Scholars
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Related Subject Headings
- Treatment Outcome
- Transcatheter Aortic Valve Replacement
- Radiography
- Prosthesis Fitting
- Male
- Humans
- Carotid Arteries
- Cardiovascular System & Hematology
- Aortic Valve Insufficiency
- Aortic Dissection
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Treatment Outcome
- Transcatheter Aortic Valve Replacement
- Radiography
- Prosthesis Fitting
- Male
- Humans
- Carotid Arteries
- Cardiovascular System & Hematology
- Aortic Valve Insufficiency
- Aortic Dissection