Key result
Concomitant trans-apical TAVI and VATS lobectomy proves feasible, maintaining normal valve function at 12 months.
Why the study?
The optimal therapeutic strategy for concomitant aortic valve disease and lung cancer remains controversial.
Is concomitant transcatheter aortic valve implantation and lobectomy feasible in an elderly patient with aortic valve regurgitation and lung cancer?
Case Report (n=1)
No
Is concomitant transcatheter aortic valve implantation and lobectomy feasible in an elderly patient with aortic valve regurgitation and lung cancer?
Concomitant trans-apical TAVI and VATS lobectomy is a feasible one-stage surgical option for elderly patients with concurrent aortic valve disease and lung cancer.
Supports feasibility of one-stage TAVI-lobectomy in select elderly patients; leaves open need for prospective data before wider adoption.
BACKGROUND: The treatment strategy for aortic valve and lung cancer patients includes concomitant or two-stage procedures. Conventional simultaneous operations are usually performed under the median sternotomy. CASE PRESENTATION: A 72-year-old man was admitted to our hospital after experiencing chest tightness after activity for two months. Aortic valve regurgitation had been confirmed when squamous cell carcinoma of the lung was discovered. The therapeutic strategy for these patients is controversial. Considering the potential risk of tumour metastasis and the risk of cardiopulmonary bypass (CPB), we recommended concomitant transcatheter aortic valve implantation (TAVI) and a lobectomy. A trans-apical TAVI with left-sided intercostal thoracotomy was successfully performed, followed by an immediate video-assisted thoracoscopic surgery (VATS) lobectomy and selective lymph node dissection. CONCLUSIONS: We suggest that a one-stage surgery of pulmonary resection following TAVI is an acceptable and safe choice after careful evaluation and should be performed as soon as possible in response to lung cancer in elderly patients with aortic valve disease.
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Xu et al. (2020) conducted a case report in Aortic valve regurgitation and lung cancer (n=1). Concomitant trans-apical TAVI and VATS lobectomy was evaluated on Clinical recovery and valve function. Concomitant trans-apical TAVI and VATS lobectomy was successfully performed in a 72-year-old man with aortic valve regurgitation and lung cancer, maintaining normal valve function at 12 months.
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