title: Transcatheter Balloon Expandable Aortic Valve Implantation through an Aortofemoral Bypass Graft.
abstract: An 84-year-old woman was diagnosed with symptomatic severe aortic stenosis. She had previously undergone aortobifemoral bypass grafting (Y graft) for bilateral iliac stenosis. In view of a high surgical risk, a decision for transcatheter aortic valve implantation (TAVI) was made. An incision was made on the right limb of the Y graft and subsequently a 16 Fr e-sheath was smoothly advanced through the graft. A 23 mm balloon expandable valve was then advanced with no resistance and successfully deployed. This case highlights the feasibility of TAVI through the graft, but requires a thorough preprocedural assessment of the access route using multiple imaging modalities.
authors.affiliation: Department of Cardiology, New Tokyo Hospital, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Naganuma
authors.forename: Satoru
authors.initials: S
authors.lastname: Mitomo
authors.forename: Shotaro
authors.initials: S
authors.lastname: Nakamura
authors.forename: Masafumi
authors.initials: M
authors.lastname: Akita
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Nakao
authors.forename: Sunao
authors.initials: S
authors.lastname: Nakamura
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*; D016896:Treatment Outcome