Direct aortic transcatheter valve implantation in a porcelain aorta

Giuseppe Bruschi, Luca Botta, Federico De Marco, Paola Colombo, Silvio Klugmann, Luigi Martinelli

Research output: Contribution to journalArticlepeer-review


Transcatheter aortic valve implantation has been designed to treat elderly patients with severe aortic stenosis at high risk for surgery, and is generally performed retrogradely with vascular access. However, in certain patients, this access is either not possible or deemed to carry a high risk of vascular injury. We report our experience of a direct aortic approach in a 78-year old man with severe aortic stenosis, excluded from standard aortic valve replacement due to a porcelain aorta, and affected by severe aortic, iliac-femoral, and subclavian arteriopathy, rendering the transfemoral or subclavian approach unemployable.

Original languageEnglish
Pages (from-to)968-971
Number of pages4
JournalAsian Cardiovascular and Thoracic Annals
Issue number8
Publication statusPublished - Oct 12 2014


  • Aortic valve stenosis
  • catheterization
  • heart valve prosthesis implantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)


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