Combined transaortic transcatheter valve replacement and thoracic endografting

Ann Thorac Surg. 2014 Feb;97(2):696-8. doi: 10.1016/j.athoracsur.2013.05.099.

Abstract

Direct transaortic (TAo) approach for transcatheter aortic valve replacement (TAVR) in patients with symptomatic, severe aortic stenosis (AS) with prohibitive transfemoral access is being increasingly performed. Furthermore, concomitant catheter-based procedures such as percutaneous coronary intervention (PCI) are also being increasingly performed during TAVR. We report a single-stage, catheter-based treatment of both critical AS and descending thoracic aortic aneurysm (DTA) by performing TAVR with concomitant thoracic aortic endovascular repair (TEVAR) through direct TAo access via a minimally invasive partial sternotomy approach. To our knowledge, this is the first report of a "hybrid" TAVR+TEVAR.

Keywords: 26; 35.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / surgery*
  • Blood Vessel Prosthesis Implantation / methods*
  • Cardiac Catheterization*
  • Endovascular Procedures*
  • Female
  • Heart Valve Prosthesis Implantation / methods*
  • Humans