Transcatheter Aortic Valve Implantation via Transaortic Approach

Abstract

Transcatheter aortic valve implantation (TAVI) has provided patients who have been deemed high risk, or inoperable by conventional surgical valve replacement, with another method of having an aortic valve replacement without the need for major open-heart surgery. We report in this case a TAVI via a transaortic approach on a 75-year-old woman who had no amenable peripheral vascular access for a transfemoral approach. Therefore, a transaortic approach was deemed appropriate. This was the first performance of a TAVI via transaortic approach reported in Trinidad and Tobago and it illustrated a safe and effective strategy for TAVI in high-risk patients without eligible femoral access and severe aortic stenosis.