Annals of Thoracic and Cardiovascular Surgery
Online ISSN : 2186-1005
Print ISSN : 1341-1098
ISSN-L : 1341-1098
First Transcatheter Aortic Valve Implantation via Carotid Artery Performed in Japan
Yusuke MisumiToru KurataniKoichi MaedaKoichi TodaShigeru MiyagawaTakayoshi UenoYoshiki Sawa
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JOURNALS OPEN ACCESS Advance online publication

Article ID: cr.18-00201

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Abstract

Transcatheter aortic valve implantation (TAVI) through a peripheral arterial access is often complicated by concomitant arteriopathy. We describe here the first successful case of TAVI through the carotid artery in Japan. The patient was an 83-year-old woman with severe aortic stenosis (AS). Preoperative computed tomography (CT) revealed a shaggy distal aortic arch and left subclavian artery ostium, along with severely calcified bilateral iliofemoral arteries. Trans-apical and direct aortic approaches were abandoned because of frailty. Following the thorough cerebrovascular assessment, the left common carotid artery was selected for arterial access and a CoreValve transcatheter aortic valve was successfully implanted without neurologic complications.

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© 2018 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

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