Urgent trans-axillary valve-in-valve procedure using the Edwards 16F expandable introducer.

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Ruggieri, Vito Giovanni | Bedossa, Marc | Verhoye, Jean-Philippe

Edité par CCSD ; Wiley -

International audience. Transcatheter aortic valve implantation could represent an alternative option to conventional surgery in high risk patients with degeneration of aortic bioprosthesis. Herein we report the performance of a valve-in-valve procedure in urgent conditions and via the left axillary artery in a patient with patent left internal mammary artery coronary graft. A 23 mm Edwards Sapien(®) transcatheter valve was deployed within a 23 mm Edwards Magna Ease bioprosthesis through the novel Edwards 16 French expandable introducer. In this non-elective case the expandable introducer allowed a safe procedure, reduced the risk of subclavian injury and preserved the LIMA graft flow. © 2012 Wiley Periodicals, Inc.

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