Abstract

JIMENEZ SEVERINO, Andrés et al. Abordaje transcaval en reemplazo valvular aórtico percutáneo: primer caso en Costa Rica. Rev. costarric. cardiol [online]. 2022, vol.24, n.2, pp.7-11. ISSN 1409-4142.

Severe symptomatic aortic stenosis in patients with high surgical risk can be addressed percutaneously with transcatheter aortic valve replacement (TAVR). There is solid evidence of favorable results with an adequate safety profile in these patients. The transfemoral approach is the most widely used and has shown to be safer compared to thoracic approaches.

Though, since the middle of the last decade, the transcaval approach has become an option in patients who present a high surgical risk and who have inadequate vasculature for a safe transfemoral approach. We present the case of a 65-year-old patient in whom this approach was preferred due to his high surgical risk and inaccessibility to perform a transfemoral approach.

Keywords : Aortic stenosis; High surgical risk; Inoperable; Transcatheter implant; Indications.

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