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Updated: Jan 12, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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Published on: August 8, 2025

Apico-Aortic Conduit for TAVR Failure.

Igor Belluschi¹, Giuseppe Bruschi¹, Bruno Merlanti¹

¹ASST Grande Ospedale Metropolitano Niguarda, Heart Transplant & Cardiac Surgery Unit, "De Gasperis" Cardio-Thoracic and Vascular Department, Milan, Italy.

JACC. Case Reports

|November 3, 2025

Summary

This summary is machine-generated.

The apico-aortic conduit (AAC) is a viable option when conventional surgery and transcatheter aortic valve replacement (TAVR) fail due to severe aortic calcification. This case highlights AAC as a crucial bailout strategy for complex aortic valve disease.

Area of Science:

Cardiovascular Surgery
Interventional Cardiology

Background:

The apico-aortic conduit (AAC) serves as an alternative for patients with severe aortic calcification or sternal graft issues.
Transcatheter aortic valve replacement (TAVR) is a common procedure for aortic valve stenosis.

Keywords:

TAVR aortic hypoplasia aortic stenosis apico-aortic conduit

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