title: Transfemoral aortic valve implantation for severe aortic stenosis in a patient with dextrocardia situs inversus.
abstract: Transcatheter aortic valve implantation (TAVR) has grown rapidly over the past 10 years. Device and delivery catheter systems have evolved to facilitate the procedure and reduce the risk of associated complications, including those related to vascular access. It is important to understand the utility of the TAVR equipment in patients with more challenging anatomy to select the most appropriate technique for this complex procedure. We report the first case, to our knowledge, of a patient with dextrocardia situs inversus and previous coronary artery bypass grafting who underwent TAVR from the femoral route using the Edwards SAPIEN XT Novaflex+ Transfemoral System (Edwards Lifesciences, Irvine, CA).
authors.affiliation: Department of Medicine, Dalhousie University, QE II Health Sciences Center, Halifax, Nova Scotia, Canada.
authors.forename: Richard I S
authors.initials: RI
authors.lastname: Good
authors.affiliation: Department of Medicine, Dalhousie University, QE II Health Sciences Center, Halifax, Nova Scotia, Canada.
authors.forename: Kenneth P
authors.initials: KP
authors.lastname: Morgan
authors.affiliation: Department of Medicine, Dalhousie University, QE II Health Sciences Center, Halifax, Nova Scotia, Canada.
authors.forename: Alan
authors.initials: A
authors.lastname: Brydie
authors.affiliation: Department of Medicine, Dalhousie University, QE II Health Sciences Center, Halifax, Nova Scotia, Canada.
authors.forename: Hussein K
authors.initials: HK
authors.lastname: Beydoun
authors.affiliation: Department of Medicine, Dalhousie University, QE II Health Sciences Center, Halifax, Nova Scotia, Canada. Electronic address: najaf.nadeem@cdha.nshealth.ca.
authors.forename: S Najaf
authors.initials: SN
authors.lastname: Nadeem
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001026:Coronary Artery Bypass; D003914:Dextrocardia / Q000150:complications*; D005263:Femoral Artery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods; D012857:Situs Inversus / Q000150:complications