PMC6329684_01
Computed tomography showing the porcelain ascending aorta (
A
), narrowing with spot calcification (arrow) of the left subclavian artery (
B
), and narrowing with extensive calcification of the bilateral iliac arteries (
C
).
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FI180303crc-1
The ascending aorta was porcelain, the left subclavian artery was narrow (minimum diameter < 5 mm with spot calcification at the proximal site), and the bilateral iliac arteries were narrow and extensively calcified (minimum diameter < 5 mm) ( Fig. 1 ).
Angioplasty with an 8-mm balloon within the internal endoconduit (
A
). An 18 F sheath was passed through the internal endoconduit, and the delivery system of a 26-mm CoreValve Evolut R (Medtronic, Minneapolis, Minnesota, United States) was passed through the 18 F sheath (
B
). The final image shows a well-seated CoreValve (
C
) and trivial aortic valve leakage.
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The delivery system was smoothly inserted into the aortic valve through the 18 F sheath, and a 26-mm CoreValve was successfully deployed ( Fig. 2 ). 