Transcatheter aortic valve replacement (TAVR) has become an alternative to surgical aortic valve replacement in patients with high or prohibitive surgical risk. Transaortic TAVR has several advantages compared to the transfemoral, transapical, and transaxillary routes. It can be performed via a J mini-sternotomy, an approach that is familiar to cardiac surgeons, it avoids the passage of large rigid sheaths within the iliofemoral vessels, it does not require access of the apex of the heart, it avoids a left thoracotomy, and it facilitates a short stable platform for precise valve positioning during implantation. Early results indicate that the transaortic route is safe and has comparable outcomes to the other access routes. For these reasons, transaortic TAVR has become the second choice to the transfemoral route in some centers.
- Aortic stenosis
- Aortic valve replacement
- Minimally invasive
- Transcatheter aortic valve implantation
- Transcatheter aortic valve replacement
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