An elderly patient with significant aortic regurgitation presented with heart failure. Dilation of the aortic root precluded a transcatheter anatomic site valve implantation, and prohibitive operative risk ruled against surgical implantation. A bail-out transcatheter implantation of the aortic valve in the descending aorta was successfully carried out with satisfactory outcomes.
Keywords: TAVR; aortic insufficiency; aortic valve; transcatheter aortic valve implantation; transcatheter valve replacement.