title: Transcatheter aortic valve implantation through the ascending aorta: an alternative option for no-access patients.
abstract: Retrograde transcatheter aortic valve implantation (TAVI) was successfully performed in an 80-year-old woman who had critical aortic stenosis but had no conventional access available because of severe calcifications of the femoral, iliac, and subclavian arteries. The TAVI procedure was performed with the CoreValve ReValving System. The currently available results obtained with TAVI show that such approaches provide significant clinical improvement in patients with severe aortic stenosis and unacceptable risk or contraindications for surgery. The ascending aorta approach might help to expand the implantation possibilities for those patients for whom the typical access sites are not available.
authors.affiliation: Clinic of Cardiovascular Surgery, The Technical University, Munich, Germany.
authors.forename: Robert
authors.initials: R
authors.lastname: Bauernschmitt
authors.forename: Christian
authors.initials: C
authors.lastname: Schreiber
authors.forename: Sabine
authors.initials: S
authors.lastname: Bleiziffer
authors.forename: Hendrik
authors.initials: H
authors.lastname: Ruge
authors.forename: Domenico
authors.initials: D
authors.lastname: Mazzitelli
authors.forename: Andrea
authors.initials: A
authors.lastname: Hutter
authors.forename: Peter
authors.initials: P
authors.lastname: Tassani
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Lange
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D016896:Treatment Outcome