Open Access 01-12-2016 | Case report
Transfemoral transcatheter aortic valve implantation in a patient with multiple endovascular aortic stents – a case report
Published in: Journal of Cardiothoracic Surgery | Issue 1/2016
Login to get accessAbstract
Background
In patients undergoing transfemoral transcatheter aortic valve implantation, previous endovascular interventions bear a risk for the valve frame to get stucked to the aortic stents.
Case Presentation
We report on a 75-year-old frail patient with severe aortic stenosis and a rapid increase of an infra-renal aneurysm. He had a history of multiple endovascular interventions on the aorta. Due to his frail preoperative status we decided to perform a transfemoral transcatheter aortic valve implantation in combination with a simultaneous surgical abdominal aneurysm repair. To allow an atraumatic passage of the Edwards SAPIEN 3 valve across the endovascular stents we used a special technique.
Conclusions
The transfemoral approach in patients with previous endovascular stenting can be performed successfully by a partial inflation of the distal balloon.