title: Percutaneous aortic valve replacement using a subclavian artery graft.
abstract: Over the past few years transcatheter heart valve implantation (THI) has become an alternative treatment for aortic valve replacement. The THI does not require a midline sternotomy or cardiopulmonary bypass and can be performed through a transfemoral or a transapical approach. In case of severe peripheral vascular disease the transapical route is usually chosen. However, when the use of a small anterolateral thoracotomy is not preferred due to comorbidities, the subclavian artery can be considered as a third alternative route. This case report describes an approach for THI through the subclavian artery, by using a Dacron graft.
authors.affiliation: Department of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Janny E
authors.initials: JE
authors.lastname: Poelman
authors.forename: Rik W
authors.initials: RW
authors.lastname: van der Werf
authors.forename: Yvonne L
authors.initials: YL
authors.lastname: Douglas
authors.forename: Ad F M
authors.initials: AF
authors.lastname: van den Heuvel
authors.forename: Bart J G L
authors.initials: BJ
authors.lastname: de Smet
authors.forename: Massimo A
authors.initials: MA
authors.lastname: Mariani
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D013348:Subclavian Artery / Q000637:transplantation*