# Transcarotid TAVR for Severe Bicuspid Aortic Stenosis With Virtually Atretic Coarctation of the Thoracic Aorta

## TL;DR

This paper reports the first successful transcarotid TAVR in a patient with severe bicuspid aortic stenosis and a blocked thoracic aorta.

## Contribution

First reported case of transcarotid TAVR in a patient with atretic coarctation and bicuspid aortic stenosis.

## Key findings

- Transcarotid TAVR was successfully performed in a 65-year-old man with severe bicuspid aortic stenosis.
- The patient had a virtually atretic coarctation of the thoracic aorta, making transfemoral access impossible.
- The procedure highlights an alternative approach for patients with complex anatomical challenges.

## Abstract

Transcatheter aortic valve replacement by alternate access sites allows for treatment of patients with unfavorable anatomy for a transfemoral approach. To our knowledge, we present the first reported case of successful transcatheter aortic valve replacement via the transcarotid approach in a 65-year-old man with a symptomatic severe bicuspid aortic valve stenosis and virtually atretic coarctation of the thoracic aorta.