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A 76-year-old man had severe aortic stenosis and underwent elective transcatheter aortic valve implantation (TAVI). Aortic annulus sizing by transthoracic echocardiography (TTE) was 25 mm. Multislice CT showed adequate iliofemoral arteries calibre with no severe calcifications. The procedure took place by right transfemoral access using a percutaneous closure device (ProStar XL Percutaneous Vascular Surgical System; Abbott Vascular, Redwood City, California, USA). A 26 mm balloon-expandable Edwards–Sapien XT valve (Edwards Lifesciences, Irvine, California, USA) was successfully advanced, however, with some resistance at …
Contributors All authors have read and approved the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.