The replacement of the aortic valve through the catheter has become an acceptable alternative to surgery for patients with acute aortic stenosis and symptoms that are not suitable for work or that have a high surgical risk. Recent trials support the use of aortic valve replacement through the catheter also in patients at moderate risk, and ongoing trials assess the suitability of other groups of patients. The authors review the main anatomical features that do not complement the procedure for the replacement of the aortic valve through catheterization and obtaining echo images for the pre-abortion, intra-corporal and postoperative evaluation.