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Case Reports in Cardiology
Volume 2017, Article ID 2936513, 3 pages
Case Report

Transcatheter Aortic Valve Implantation in an Extremely Tortuous S-Shaped Aorta

1Section of Cardiology, St. Boniface Hospital, University of Manitoba, Winnipeg, MB, Canada
2Section of Cardiac Surgery, St. Boniface Hospital, University of Manitoba, Winnipeg, MB, Canada

Correspondence should be addressed to Malek Kass;

Received 20 November 2016; Accepted 13 February 2017; Published 2 March 2017

Academic Editor: Yoshiro Naito

Copyright © 2017 Shuangbo Liu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Transcatheter aortic valve implantation (TAVI) has emerged as an alternative technique to treating aortic stenosis in patients with high surgical risk. We present a case of a successful transfemoral TAVI in a high-risk patient with an extremely tortuous iliofemoral system and a significant S-type bend in the descending aorta. With careful preprocedure planning and using all the techniques available, TAVI can be performed in the most challenging patients.