title: Transfemoral transcatheter aortic valve implantation in a patient with multiple endovascular aortic stents--a case report.
abstract: BACKGROUND
  In patients undergoing transfemoral transcatheter aortic valve implantation, previous endovascular interventions bear a risk for the valve frame to get stucked to the aortic stents.
  
  
  METHODS
  We report on a 75-year-old frail patient with severe aortic stenosis and a rapid increase of an infra-renal aneurysm. He had a history of multiple endovascular interventions on the aorta. Due to his frail preoperative status we decided to perform a transfemoral transcatheter aortic valve implantation in combination with a simultaneous surgical abdominal aneurysm repair. To allow an atraumatic passage of the Edwards SAPIEN 3 valve across the endovascular stents we used a special technique.
  
  
  CONCLUSIONS
  The transfemoral approach in patients with previous endovascular stenting can be performed successfully by a partial inflation of the distal balloon.
authors.affiliation: Department of Cardiothoracic Surgery, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany. carolyn.weber@uk-koeln.de.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Weber
authors.affiliation: Department of Cardiothoracic Surgery, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.
authors.forename: Antje-Christin
authors.initials: AC
authors.lastname: Deppe
authors.affiliation: Department of Cardiothoracic Surgery, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.
authors.forename: Kaveh
authors.initials: K
authors.lastname: Eghbalzadeh
authors.affiliation: Department of Cardiothoracic Surgery, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Scherner
authors.affiliation: Department of Vascular Surgery, University of Cologne, Cologne, Germany.
authors.forename: Daphne
authors.initials: D
authors.lastname: Gray
authors.affiliation: Department of Vascular Surgery, University of Cologne, Cologne, Germany.
authors.forename: Payman
authors.initials: P
authors.lastname: Majd
authors.affiliation: Department of Vascular Surgery, University of Cologne, Cologne, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Gawenda
authors.affiliation: Department of Cardiology, University of Cologne, Cologne, Germany.
authors.forename: Stephan
authors.initials: S
authors.lastname: Rosenkranz
authors.affiliation: Department of Cardiology, University of Cologne, Cologne, Germany.
authors.forename: Tanja
authors.initials: T
authors.lastname: Rudolph
authors.affiliation: Department of Cardiothoracic Surgery, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.
authors.forename: Navid
authors.initials: N
authors.lastname: Madershahian
authors.affiliation: Department of Cardiothoracic Surgery, University of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany.
authors.forename: Thorsten
authors.initials: T
authors.lastname: Wahlers
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods; D057510:Endovascular Procedures; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation / Q000379:methods; D015607:Stents; D014057:Tomography, X-Ray Computed; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*
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