Trans-catheter aortic-valve implantation by the subclavian approach complicated with vessel dissection and transient left-arm paralysis.
We report a case of an 84-year-old female with symptomatic severe aortic stenosis, who was treated with trans-catheter aortic-valve implantation (TAVI), through the left subclavian artery. A CoreValve bioprosthesis was successfully implanted, but the procedure was complicated by a focal left subclavian dissection and transient left-arm paralysis, which was successfully managed.
Vavuranakis
Manolis
M
1st Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Greece. vavouran@otenet.gr
Vrachatis
Dimitrios A
DA
Filis
Konstantinos
K
Stefanadis
Christodoulos
C
D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001132:Arm / Q000503:physiopathology; D001705:Bioprosthesis; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010243:Paralysis / Q000209:etiology*; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging*