title: Percutaneous aortic valve implantation of the Medtronic CoreValve self-expanding valve prosthesis via left subclavian artery access: the first case report in Greece.
abstract: This case report describes a percutaneous aortic valve implantation with the Medtronic CoreValve selfexpanding valve prosthesis in a patient with severe aortic stenosis. The approach was made via the left subclavian artery because of the lack of femoral vessel access. The patient was a 78-year-old female with breathlessness on minimal effort, a recent hospitalisation due to pulmonary oedema, and frequent episodes of pre-syncope; surgical valve replacement had been ruled out. The prosthetic valve was successfully implanted with mild paravalvular aortic regurgitation. At 30 days, the patient's clinical condition had significantly improved, with excellent functioning of the aortic valve prosthesis.
authors.affiliation: Second Division of Cardiology, Onassis Cardiac Surgery Centre, Athens, Greece. gkaravolias@gmail.com
authors.forename: George K
authors.initials: GK
authors.lastname: Karavolias
authors.forename: Panagiota
authors.initials: P
authors.lastname: Georgiadou
authors.forename: Mazen
authors.initials: M
authors.lastname: Houri
authors.forename: Eftihia
authors.initials: E
authors.lastname: Sbarouni
authors.forename: Sofia
authors.initials: S
authors.lastname: Thomopoulou
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Tsiapras
authors.forename: Anna
authors.initials: A
authors.lastname: Smirli
authors.forename: Marina
authors.initials: M
authors.lastname: Balanika
authors.forename: Vassilis
authors.initials: V
authors.lastname: Voudris
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D013348:Subclavian Artery