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KMID : 1036020130020020085
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지질.동맥경화학회지
2013 Volume.2 No. 2 p.85 ~ p.90
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Transcatheter Aortic Valve Implantation Using CoreValve by Transaortic Approach
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Chun Kyeong-Hyeon
Ko Young-Guk
Shim Ji-Young
Hong Myeong-Ki
Lee Sak
Chang Byung-Chul
Shim Jae-Kwang
Kwak Young-Ran
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Abstract
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Introduction: Transcatheter aortic valve implantation (TAVI) is now considered as an alternative treatment option for severe aortic stenosis (AS) patients who cannot undergo surgical aortic valve replacement (AVR).
Case report: We describe the first Korean case of transaortic TAVI with mini-sternotomy using CoreValve. A 83-year-old woman with severe AS and recent history of non-ST elevation myocardial infarction was referred to our institution for TAVI intervention. There was no amenable peripheral vascular access for transfemoral or trans-subclavian approach. Considering the relatively high procedural risk of transapical approach in this patient, we performed transaortic TAVI with mini-sternotomy.
Conclusion: The present case suggests transaortic approach may be an effective and safe strategy for TAVI in high risk severe AS patients without eligible femoral or subclavian access routes.
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KEYWORD
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Heart valve prosthesis implantation, Aortic stenosis, Vascular access devices
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