title: Carotid-access transcatheter aortic valve replacement in a patient with a previous mitral valve replacement.
abstract: We describe a case of transcatheter aortic valve replacement (TAVR) using carotid artery access and regional anesthesia in a patient with rheumatic heart disease, previous mitral valve replacement, and multiple co-morbidities. It highlights the role of the multidisciplinary Heart Team and multimodality imaging in reaching and implementing an appropriate management plan in this complex patient group.
authors.affiliation: The Heart Centre, Royal Victoria Hospital, Belfast, United Kingdom.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Daly
authors.forename: Paul H
authors.initials: PH
authors.lastname: Blair
authors.forename: Thomas
authors.initials: T
authors.lastname: Modine
authors.forename: Patrick M
authors.initials: PM
authors.lastname: Donnelly
authors.forename: Reuben
authors.initials: R
authors.lastname: Jeganathan
authors.forename: Ganesh
authors.initials: G
authors.lastname: Manoharan
authors.forename: Mark S
authors.initials: MS
authors.lastname: Spence
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017536:Carotid Artery, Common; D003952:Diagnostic Imaging; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000601:surgery; D010347:Patient Care Planning; D010348:Patient Care Team; D012720:Severity of Illness Index; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*