Transapical transcatheter aortic valve implantation performed with a retrolaminar block

Transapical transcatheter aortic valve implantation (TA-TAVI) has been developed for the treatment of patients with severe aortic stenosis and unacceptably high estimated surgical risks [1]. In addition, the TAVI may be able to perform earlier rising compared with aortic valve replacement. However, as the TA-TAVI approach is through an intercostal thoracotomy, it is difficult to manage the associated perioperative pain, and the patients often experience severe pain. A thoracic paravertebral nerve block is reported to provide effective analgesia for the TA-TAVI [2]; however, the thoracic paravertebral nerve block is a difficult technique owing to the deep nerve block site.

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