Key result
Simultaneous TAVR and EVAR with surgical cutdown proves safe and feasible in high-risk anatomy.
Why the study?
Aortic stenosis, abdominal aortic aneurysm, and peripheral artery disease are common comorbidities, and as the population ages, more patients will require intervention to reduce morbidity and mortality.
Case Report (n=1)
Simultaneous TAVR and EVAR with surgical cutdown can be performed safely in high-risk patients with severe aortic stenosis, abdominal aortic aneurysm, and severe peripheral artery disease.
Answers are grounded in this paper and cite their sources.
May support feasibility of simultaneous TAVR-EVAR in select high-risk cases; hypothesis-generating and requires prospective validation.
Aortic stenosis, abdominal aortic aneurysm, and peripheral artery disease are common comorbidities with shared risk factors. As the population ages, more patients will require intervention to reduce morbidity and mortality from these entities. We present a 78-year-old woman with severe aortic stenosis, abdominal aortic aneurysm (8.1 × 4.9 × 4.8 cm), and severe peripheral artery disease. Simultaneous transcatheter aortic valve replacement and endovascular aneurysm repair were performed, with surgical cutdown of the right common femoral artery and then a right femoral endarterectomy required. The patient was discharged home 2 days later. A multidisciplinary approach with careful preoperative planning was key.
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Pampori et al. (2026) conducted a case report in Severe aortic stenosis, abdominal aortic aneurysm, and severe peripheral artery disease (n=1). Simultaneous transcatheter aortic valve replacement (TAVR) and endovascular aneurysm repair (EVAR) was evaluated on Procedural success and safety. Simultaneous transcatheter aortic valve replacement and endovascular aneurysm repair with surgical cutdown was performed safely and successfully in a patient with severe comorbidities.
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