In recent years, transcatheter aortic valve implantation has become an emerging alternative for high-risk patients with severe aortic stenosis. We report a case of transcatheter aortic valve implantation with the self-expanding Medtronic CoreValve bioprosthesis through a left common carotid artery. This 83-year-old male patient presented with heart failure due to a severe degenerative aortic bioprosthesis, with several comorbidities, resulting in a logistic EuroScore II of 36%. Consequently, he was rejected to undergo surgery and a transcatheter approach was planned. And due to severe peripheral vascular disease with iliofemoral lesions, significant calcifications of the innominate artery, we considered a left carotid access through a prosthesis carotid in Dacron. The procedure was successful without cardiac, cerebrovascular, or access complications. And it appears to be a valuable alternative access for patients with severe peripheral vascular disease.
Imran Khan, Waseem Riaz, Tipu Khan, Zafar Tufail, Surgical Repair of Post Myocardial Infarction Ventricular Septal Rupture: Experience at a Tertiary Care Hospital Journal of the Hong Kong College of Cardiology 2015;23(1) https://doi.org/10.55503/2790-6744.1032