First trans-subclavian transcatheter aortic valve replacement using Lotus valve system.
Transcatheter aortic valve implantation (TAVI), most commonly performed via retrograde femoral artery access, is a promising alternative to surgical aortic valve replacement in elderly, high-risk patients with severe aortic stenosis (AS). Approximately one-third of these patients suffer from severe iliofemoral arteriopathy, ruling out transfemoral approach. The case of a 74-year-old man with severe AS and bilateral iliofemoral arteriopathy treated with left trans-subclavian (TS) TAVI using the Lotus valve system is described in the present report.
Department of Cardiology, Atatürk Training and Research Hospital, Ankara, Turkey.
Serdal
S
Baştuğ
Department of Cardiology, Atatürk Training and Research Hospital, Ankara, Turkey. drnabiaslan@hotmail.com.
Abdullah Nabi
AN
Aslan
Department of Cardiology, Atatürk Training and Research Hospital, Ankara, Turkey.
Cenk
C
Sarı
Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
Hakan
H
Süygün
Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
Engin
E
Bozkurt
D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D065467:Transcatheter Aortic Valve Replacement / Q000295:instrumentation* / Q000379:methods*