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Transfemoral TAVI and aortic calcification: the destructive impact of endogenous calcium
  1. Alexander Lauten,
  2. Hans R Figulla,
  3. Markus Ferrari
  1. Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine, University Heart Center Jena, Jena, Germany
  1. Correspondence to Dr Alexander Lauten, Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine, University Heart Center Jena, Erlanger Allee 101, Jena 07747, Germany; alexander.lauten{at}med.uni-jena.de

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Transfemoral transcatheter aortic valve implantation (TAVI) procedure was performed in an elderly patient with degenerative aortic stenosis using a 23 mm-Edwards-Sapien XT bioprosthesis (Edwards Lifesciences, Irvine, California, USA). In addition to degenerative aortic stenosis, the patient also had severe calcification in the descending aorta. After positioning the 16F-e-sheath through the right femoral artery, the bioprosthesis was advanced with a retroflex catheter to the ascending aorta in the usual fashion. Just before crossing …

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