Mustafa A, Wei C, Cinelli M, Khan S, Khan D, Tamburrino F, Maniatis G, Spagnola J. Balloon valvuloplasty and transcatheter aortic valve replacement via aortofemoral bypass grafts: A case report and review of literature. World J Cardiol 2025; 17(3): 101709 [DOI: 10.4330/wjc.v17.i3.101709]
Corresponding Author of This Article
Ahmad Mustafa, MD, Doctor, Department of Cardiology, Northwell Health, New Hyde Park, 2000 Marcus Avenue, Suite 300, New York, NY 11042, United States. amustafa3@northwell.edu
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Mar 26, 2025; 17(3): 101709 Published online Mar 26, 2025. doi: 10.4330/wjc.v17.i3.101709
Balloon valvuloplasty and transcatheter aortic valve replacement via aortofemoral bypass grafts: A case report and review of literature
Ahmad Mustafa, Chapman Wei, Michael Cinelli, Shahkar Khan, Danyal Khan, Frank Tamburrino, Gregory Maniatis, Jonathan Spagnola
Ahmad Mustafa, Chapman Wei, Michael Cinelli, Shahkar Khan, Danyal Khan, Frank Tamburrino, Gregory Maniatis, Jonathan Spagnola, Department of Cardiology, Northwell Health, New Hyde Park, New York, NY 11042, United States
Author contributions: Mustafa A and Chapman Wei C drafted the case report and conducted the necessary supportive literature review; Cinelli M, Khan D, Khan S, Tamburrino T, Maniatis G, Spagnola J reviewed and revised the manuscript. All authors read and approved the final manuscript.
Informed consent statement: Informed Consent was obtained from the patient.
Conflict-of-interest statement: No conflict of interest was reported among authors.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ahmad Mustafa, MD, Doctor, Department of Cardiology, Northwell Health, New Hyde Park, 2000 Marcus Avenue, Suite 300, New York, NY 11042, United States. amustafa3@northwell.edu
Received: September 24, 2024 Revised: January 27, 2025 Accepted: February 21, 2025 Published online: March 26, 2025 Processing time: 178 Days and 3.1 Hours
Core Tip
Core Tip: This case report focuses on the safety and efficacy of a direct puncture of an aortofemoral graft for transfemoral access to perform balloon aortic valvuloplasty and a staged transcatheter aortic valve replacement (TAVR) within a short time frame in a patient with severe peripheral arterial disease. While alternative non-femoral access approaches are reasonable, we chose direct graft puncture as the ideal access based on multi-detector computed tomography imaging. This demonstrates the safety of obtaining large-bore catheter access twice through an aortofemoral graft. Our case adds to the literature by exploring the short-term outcomes of puncturing an avascular structure during TAVR in a complex patient. This transfemoral approach may be considered in patients with aortofemoral grafts when general anesthesia or alternative access methods are less desirable.
