Key result
Simultaneous TEVAR followed by TAVI was successfully performed in a patient with severe aortic stenosis and a giant dissecting thoracic aortic aneurysm, preventing critical aortic-related events.
Why the study?
Simultaneous TAVI and TEVAR are rare, prompting the report of a case of severe AS concomitant with a giant TAA treated with TEVAR preceding TAVI.
Case Report (n=1)
No
Simultaneous TEVAR followed by TAVI is a feasible and effective strategy for patients with concurrent giant thoracic dissecting aneurysms and severe aortic stenosis, preventing critical aortic-related events.
Supports feasibility of combined endovascular approach in select cases; hypothesis-generating and leaves open need for prospective validation.
Objective: A few cases of simultaneous transcatheter aortic valve implantation (TAVI) and endovascular aortic repair (EVAR) have been reported; however, simultaneous TAVI and thoracic EVAR (TEVAR) are rare. We aimed to report the successful treatment of a case of severe aortic valve stenosis (AS) concomitant with a giant thoracic aortic aneurysm (TAA), in which TEVAR preceded TAVI.
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Sugiyama et al. (2025) conducted a case report in Severe aortic valve stenosis and large dissecting thoracic aortic aneurysm (n=1). Simultaneous TEVAR followed by TAVI was evaluated on Procedural success and survival. Simultaneous TEVAR followed by TAVI was successfully performed in a patient with severe aortic stenosis and a giant dissecting thoracic aortic aneurysm, preventing critical aortic-related events.
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