Transcatheter aortic valve implantation performed with a PECS block and a TTP block

Transcatheter aortic valve implantation (TAVI) for the severe aortic stenosis has unacceptably high estimated surgical risk [1]. In addition, the TAVI may be able to perform earlier rising compared to aortic valve replacement (AVR). However, it is difficult to manage the associated perioperative pain because the Transapical transcatheter aortic valve implantation (TA-TAVI) is through an intercostal thoracotomy and the patients often experience severe pain. In addition, it is difficult to perform the neuraxial anesthesia such as an epidural anesthesia for the patients during the perioperative period.

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