Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 14 4 2019 10 19 187 190 Hakan Gocer Department of Cardiology Medical Park Usak Hospital, Usak, Turkey. Mohammed Abusharekh Department of Cardiology, Medical Park Izmir Hospital, İzmir, Turkey. Ertugrul Ercan Department of Cardiology, Medical Park Izmir Hospital, İzmir, Turkey. Istemihan Tengiz Department of Cardiology, Medical Park Izmir Hospital, İzmir, Turkey. 2019 02 25 2019 05 08 In the majority of patients undergoing transcatheter aortic valve implantation, the transfemoral access is the suggested approach due to its less invasive nature and feasibility in patients with suitable vascular anatomy. The complications of the transfemoral access site are generally vascular; however, we herein present a rare case of colon perforation following the transfemoral procedure owing to prior abdominal surgery. A transfemoral aortic valve was inserted on account of severe aortic stenosis and a high probability of surgical mortality. The patient developed acute abdomen following the procedure. Hemicolectomy was performed because of colonic perforation caused by femoral catheterization. The patient was well at 3 months’ follow-up. https://rhythm.tums.ac.ir/index.php/jthc/article/view/1045 https://rhythm.tums.ac.ir/index.php/jthc/article/download/1045/874