# Navigating Treble Clef Aorta: A Challenge for Transfemoral Transcatheter Aortic Valve Replacement—A Case Report

## TL;DR

This case report describes a successful TAVR procedure in a patient with a uniquely challenging aortic arch shape resembling a treble clef.

## Contribution

The novelty lies in demonstrating the feasibility of transfemoral TAVR in a patient with an extremely tortuous aortic arch.

## Key findings

- A patient with a treble clef-shaped aortic arch successfully underwent transfemoral TAVR.
- The case highlights the importance of careful planning and advanced imaging in complex vascular anatomy.
- Transfemoral access remains viable even in anatomically challenging scenarios.

## Abstract

Transcatheter aortic valve replacement (TAVR) has emerged as a widely approved intervention for managing severe aortic stenosis. As the number of patients undergoing TAVR continues to rise, certain cases present unique challenges, particularly in relation to vascular access. This report highlights a case of successful transfemoral TAVR performed in a patient with an exceptionally tortuous and elongated aortic arch, characterized by significant curvature reminiscent of the treble clef musical symbol.