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Updated: Jun 28, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
First successful aortic valve implantation with the CoreValve ReValving System via right subclavian artery access: a
Hendrik Ruge1, Rüdiger Lange, Sabine Bleiziffer
1Clinic for Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany. ruge@dhm.mhn.de
Abstract:
We successfully implanted a bioprosthetic aortic valve via the right subclavian artery within the framework of the CoreValve transapical aortic valve replacement (TAVR) ReValving (CoreValve, Irvine, CA, USA) clinical trial on November 20, 2007, at the Clinic for Cardiovascular Surgery at the German Heart Center Munich, Technical University Munich. The self-expanding aortic valve prosthesis is primarily designed for retrograde delivery across the aortic valve. The described approach via the right subclavian artery was performed because of severe peripheral vascular disease of the femoral and iliac arteries, as well as the left subclavian artery, and because a transapical delivery system was not available at the time of surgery.
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