Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2018
First Transcatheter Aortic Valve Implantation via Carotid Artery Performed in Japan.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Misumi Yusuke, Kuratani Toru, Maeda Koichi, Toda Koichi, Miyagawa Shigeru, Ueno Takayoshi, Sawa Yoshiki
Аннотация
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.