title: How should I treat a patient with severe and symptomatic aortic stenosis who is rejected for surgical and transfemoral valve replacement and in whom a transapical implantation was aborted? Percutaneous reconstruction of the right ilio-femoral tract with balloon angioplasty followed by the implantation of self-expanding stents.
abstract: BACKGROUND
  A 74 year old male with a history of postero-lateral myocardial infarction in 1993 and coronary bypass surgery in 1994 was referred to the outpatient clinic in a frail general condition with signs of dyspnoea at rest.
  
  
  METHODS
  Physical examination, electrocardiography, laboratory tests, coronary angiography, abdominal angiography, Echo-doppler, transesophageal echo.
  
  
  METHODS
  Aortic stenosis.
  
  
  RESULTS
  Valve replacement.
authors.affiliation: Department of Cardiology, Erasmus MC, Rotterdam, The Netherlands. p.dejaegere@erasmusmc.nl
authors.forename: Peter P T
authors.initials: PP
authors.lastname: de Jaegere
authors.forename: Lukas C
authors.initials: LC
authors.lastname: van Dijk
authors.forename: Marc R H M
authors.initials: MR
authors.lastname: van Sambeek
authors.forename: Arie-Pieter
authors.initials: AP
authors.lastname: Kappetein
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Orellana Ramos
authors.forename: Annemarie
authors.initials: A
authors.lastname: Maugenest
authors.forename: Marjo
authors.initials: M
authors.lastname: de Ronde-Tilmans
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Serruys
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy*; D017023:Coronary Angiography; D005263:Femoral Artery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007083:Iliac Artery; D008297:Male; D018579:Patient Selection; D012720:Severity of Illness Index; D015607:Stents