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SM Journal of Cardiology and Cardiovascular Diseases

Direct Aortic Portico Trans-Catheter Aortic Valve Implantation via Right Anterior Thoracotomy

[ ISSN : 3068-0034 ]

Abstract
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Received: 19-Aug-2017

Accepted: 07-Sep-2017

Published: 11-Sep-2017

Case Report | Volume 3 - Issue 2 | Article DOI :

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Giuseppe Bruschi*, Bruno Merlanti, Paola Colombo, Stefano Nava, Oriana Belli, Francesco Musca, Fabrizio Oliva and Claudio F Russo

Department of Cardiology & Cardiac Surgery, Niguarda Ca’ Granda Hospital, Italy

Corresponding Author:

Giuseppe Bruschi, Cardiac Center, ASST Niguarda General Hospital, Piazza dell’Ospedale Maggiore 3, 20162 Milan, Italy; Tel: +39.02.6444.2565

Keywords

Aortic stenosis; Transcatheter valve replacement; Direct aortic; Aortic valve

Abstract

Transcatheter Aortic Valves Implantation (TAVI) is a valid treatment for elderly patients with symptomatic severe aortic stenosis considered high- or intermediate risk surgical candidates. Retrograde trans-femoral approach should be considered the less invasive approach; however, TAVI patients are often affected also by severe iliac-femoral arteriopathy, rendering the trans-femoral approach either unemployable or deemed to carry a high risk of vascular complications. We describe a case of Portico™ TAVI system (St Jude Medical, St Paul, MN, USA) implantation made through a right anterior mini-thoracotomy in an 83 year-old patient affected by severe aortic stenosis and severe peripheral vasculopathy.

Citation

Bruschi G, Merlanti B, Colombo P, Nava S, Belli O, Musca F, et al. Direct Aortic Portico Trans-Catheter Aortic Valve Implantation via Right Anterior Thoracotomy. SM J Cardiolog and Cardiovasc Disord. 2017; 3(2): 1012.