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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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