Key result
Simultaneous transcatheter aortic valve implantation followed by endovascular aortic repair appears feasible, safe, and effective for treating concomitant severe aortic stenosis and abdominal aortic aneurysm.
Why the study?
Concomitant abdominal aortic aneurysm and severe aortic stenosis carry adverse outcomes if unmanaged, but clear recommendations regarding the management sequence are lacking.
Is simultaneous TAVI and EVAR feasible and safe in patients with concomitant severe AS and AAA?
Case Report (n=2)
Is simultaneous TAVI and EVAR feasible and safe in patients with concomitant severe AS and AAA?
Answers are grounded in this paper and cite their sources.
Simultaneous TAVI and EVAR appears feasible and safe for patients with concomitant severe aortic stenosis and abdominal aortic aneurysm.
The prevalence of concomitant abdominal aortic aneurysm (AAA) and severe aortic stenosis (AS) has been increasing in the elderly population. Both conditions have adverse outcomes, if not adequately managed. No clear recommendations are available in the literature until today, in regards of the management sequence making thus the decision-making challenging. We report 2 cases of AAA and significant AS treated with endovascular aortic repair (EVAR) and transcatheter aortic valve implantation (TAVI) during the same procedure and a review of the literature on this topic. Based on our experience, the combined procedure with TAVI followed by EVAR seems to be feasible, safe, and effective while detailed preoperative planning and a carefully tailored management strategy by a multidisciplinary team are essential.
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Koutsias et al. (2020) conducted a case report in Concomitant abdominal aortic aneurysm (AAA) and severe aortic stenosis (AS) (n=2). Simultaneous transcatheter aortic valve implantation (TAVI) and endovascular aortic repair (EVAR) was evaluated on Feasibility, safety, and effectiveness. Simultaneous transcatheter aortic valve implantation followed by endovascular aortic repair appears feasible, safe, and effective for treating concomitant severe aortic stenosis and abdominal aortic aneurysm.
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