title: Successful Transcatheter Aortic Valve Implantation of a Low-Profile Last-Generation Aortic Bioprosthesis in a Patient With Coarctation of the Aorta.
abstract: The application of transcatheter aortic valve implantation (TAVI) in a wider and younger population in the near future makes the need to successfully deal with challenging procedural conditions an imperative. We report a case in which TAVI was successfully conducted in a patient with aortic coarctation using a last-generation low-profile bioprosthesis. Despite the fragile aortic wall and its possible abnormal function, a low-profile (14F) CoreValve Evolute R device (Medtronic, Minneapolis, MN) was implanted through the coarctation without complications. Last-generation, low-profile transcatheter implanted aortic valves provide an additional advantage in patients with structural impediments.
authors.affiliation: 1st Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Greece. Electronic address: vavouran@otenet.gr.
authors.forename: Manolis
authors.initials: M
authors.lastname: Vavuranakis
authors.affiliation: 1st Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Greece.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kalogeras
authors.affiliation: 1st Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Tousoulis
mesh_terms: D000369:Aged, 80 and over; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000379:methods; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods; D011474:Prosthesis Design; D065467:Transcatheter Aortic Valve Replacement / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome