Transfemoral Edwards SAPIEN aortic valve implantation through aortofemoral endograft.
We present the case of an 86-year-old woman with an aortobifemoral endograft and porcelain aorta who underwent transfemoral transcatheter aortic valve implantation (TAVI). A femoral cutdown was performed to the left limb of the endograft, and the needle puncture into the graft required sequential incisions and dilation to allow access of the 18F Edwards SAPIEN expandable eSheath (Edwards Lifesciences, Irvine, CA). A 26-mm Edwards SAPIEN transcatheter aortic valve was then successfully deployed. The cutdown was closed and hemostasis was achieved without any iatrogenic narrowing of the graft. Transfemoral TAVI through surgical cutdown with dilation of a femoral endograft is safe and feasible.
Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address: jayachandrasekhar@hotmail.co.uk.
Jaya
J
Chandrasekhar
Department of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Buu-Khanh
BK
Lam
Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Chris
C
Glover
D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery; D001807:Blood Vessel Prosthesis; D057785:Catheters; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D019919:Prosthesis Implantation / Q000379:methods*