Transapical TAVI in chronic type A dissection

Summary Background Transcatheter aortic valve implantation (TAVI) has been a routine procedure for quite some years. Advancements in technology and experience have enabled its use in even more challenging anatomies. Case report An 83-year-old female patient with severe aortic pathology due to chronic type A dissection after supracoronary ascending aortic repair was suffering from progressive dyspnea and recurrent cardiac decompensations due to severe aortic stenosis. She was successfully treated with a transapical TAVI procedure by our interdisciplinary heart team. Conclusion Transapical TAVI is a good alternative for overcoming severe aortic pathology when treating aortic stenosis.