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Transcatheter aortic valve replacement: A novel abdominal transaortic approach

Authors

  • Thorsten M. Leucker MD, PhD,

    1. Department of Internal Medicine, University of Louisville and Jewish Hospital Heart and Lung Institute, Louisville, Kentucky
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  • Matthew L. Williams MD,

    1. Division of Cardiac and Thoracic Surgery, University of Louisville and Jewish Hospital Heart and Lung Institute, Louisville, Kentucky
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  • Michael P. Flaherty MD, PhD

    Corresponding author
    1. Department of Internal Medicine, University of Louisville and Jewish Hospital Heart and Lung Institute, Louisville, Kentucky
    2. Division of Cardiovascular Medicine, University of Louisville and Jewish Hospital Heart and Lung Institute, Louisville, Kentucky
    • Correspondence to: Michael P. Flaherty, M.D., Ph.D., Division of Cardiovascular Medicine, 550 S Jackson St. ACB 3rd Floor, University of Louisville, Louisville, KY 40292. E-mail: mpflah01@louisville.edu

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  • Conflicts of interest: Nothing to report

Abstract

Transcatheter aortic valve replacement (TAVR) via the transfemoral (TF), transapical (TA), or even the transaortic (TAO) approach in high-risk or inoperable patients is quickly becoming a safe and effective modality for the treatment of symptomatic severe aortic stenosis (AS). However, in this selected group of patients, those with anatomical or physiologic constraints preventing TF, TA, and conventional TAO TAVR, alternative sites of access must be explored. Here, we report a successful TAVR in an inoperable patient with severe AS using a distal abdominal TAO approach via a synthetic graft-conduit. © 2013 Wiley Periodicals, Inc.

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