Key result
Combined transapical transcatheter aortic valve replacement and thoracic endovascular aortic repair successfully treated critical aortic stenosis and arch aneurysm in a high-risk 83-year-old male.
Case Report (n=1)
No
Combined transapical TAVR and TEVAR is a feasible single-operation approach for high-risk patients with severe aortic stenosis and arch aneurysm.
An 83-year-old male with multiple comorbidities presented with critical aortic stenosis and a saccular aortic arch aneurysm. Through a mini thoracotomy, a balloon expandable transcatheter aortic valve was delivered transapically. A thoracic stent graft was then delivered through the prosthetic valve and deployed in the arch, while a covered stent was deployed in the left common carotid artery. Three-year postoperative computed tomography showed a thrombosed arch aneurysm with decreased size. This case demonstrates the feasibility of using combined transapical transcatheter technologies to treat multicomponent disease in a high-risk patient during a single operation.
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Zhu et al. (2016) conducted a case report in Critical aortic stenosis and saccular aortic arch aneurysm (n=1). Combined transapical transcatheter aortic valve replacement and thoracic endovascular aortic repair was evaluated on Postoperative computed tomography findings. Combined transapical transcatheter aortic valve replacement and thoracic endovascular aortic repair successfully treated critical aortic stenosis and arch aneurysm in a high-risk 83-year-old male.
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