Carotid-access transcatheter aortic valve replacement in a patient with a previous mitral valve replacement

J Card Surg. 2015 Mar;30(3):256-9. doi: 10.1111/jocs.12324. Epub 2014 Mar 10.

Abstract

We describe a case of transcatheter aortic valve replacement (TAVR) using carotid artery access and regional anesthesia in a patient with rheumatic heart disease, previous mitral valve replacement, and multiple co-morbidities. It highlights the role of the multidisciplinary Heart Team and multimodality imaging in reaching and implementing an appropriate management plan in this complex patient group.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Carotid Artery, Common*
  • Diagnostic Imaging
  • Female
  • Heart Valve Prosthesis Implantation
  • Humans
  • Mitral Valve / surgery
  • Mitral Valve Stenosis / complications*
  • Mitral Valve Stenosis / surgery
  • Patient Care Planning
  • Patient Care Team
  • Severity of Illness Index
  • Transcatheter Aortic Valve Replacement / methods*