title: Transaortic transcatheter aortic valve implantation using the Lotus valve: first-in-man experience.
abstract: OBJECTIVE
  To demonstrate the feasibility of implanting the Lotus second-generation transcatheter heart valve (THV) (designed for a transfemoral procedure) via a transaortic approach.
  
  
  RESULTS
  We describe a case with severe aortic stenosis in the presence of small calibre and calcified femoral access and severe chronic obstructive pulmonary disease. The transaortic approach was the ideal approach for this patient and we successfully implanted a 25 mm Lotus valve without any complication.
  
  
  CONCLUSIONS
  The transaortic access is a feasible and safe alternative in patients who have suboptimal iliofemoral conduits and who will benefit from the unique features of the Lotus THV.
authors.affiliation: Department of Cardiothoracic Surgery and Department of Cardiology, Guy's and St Thomas' Hospital, London, United Kingdom.
authors.forename: Vinnie
authors.initials: V
authors.lastname: Bapat
authors.forename: Kaleab N
authors.initials: KN
authors.lastname: Asrress
authors.forename: Ricardo
authors.initials: R
authors.lastname: Boix
authors.forename: Zhan Yun
authors.initials: ZY
authors.lastname: Lim
authors.forename: Jane
authors.initials: J
authors.lastname: Hancock
authors.forename: Simon R
authors.initials: SR
authors.lastname: Redwood
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000379:methods; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods; D016896:Treatment Outcome