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Published in: Cardiovascular Intervention and Therapeutics 2/2017

01-04-2017 | Case Report

Successful transfemoral aortic valve implantation through aortic stent graft after endovascular repair of abdominal aortic aneurysm

Authors: Hideyuki Kawashima, Yusuke Watanabe, Ken Kozuma

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2017

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Abstract

The patient was a 91-year-old woman presenting with severe aortic valve stenosis. Pre-procedural computed tomography scan revealed a 45-mm abdominal aortic aneurysm (AAA). Transfemoral transcatheter aortic valve implantation (TF-TAVI) was performed after endovascular aortic repair (EVAR) of the AAA. The 23-mm Edwards Sapien XT system passed through the aortic stent graft smoothly. This is the first case report showing that successful TF-TAVI can be performed through a prior abdominal aortic stent graft. TF-TAVI after EVAR of AAA is a feasible option for patients with extremely poor access.
Literature
1.
go back to reference Thomas M, Schymik G, Walther T, Himbert D, Lefevre T, Treede H, et al. Thirty-day results of the sapien aortic bioprosthesis european outcome (source) registry: a european registry of transcatheter aortic valve implantation using the edwards sapien valve. Circulation. 2010;122:62–9.CrossRefPubMed Thomas M, Schymik G, Walther T, Himbert D, Lefevre T, Treede H, et al. Thirty-day results of the sapien aortic bioprosthesis european outcome (source) registry: a european registry of transcatheter aortic valve implantation using the edwards sapien valve. Circulation. 2010;122:62–9.CrossRefPubMed
2.
go back to reference Eltchaninoff H, Prat A, Gilard M, Leguerrier A, Blanchard D, Fournial G, et al. Transcatheter aortic valve implantation: early results of the france (french aortic national corevalve and edwards) registry. Eur Heart J. 2011;32:191–7.CrossRefPubMed Eltchaninoff H, Prat A, Gilard M, Leguerrier A, Blanchard D, Fournial G, et al. Transcatheter aortic valve implantation: early results of the france (french aortic national corevalve and edwards) registry. Eur Heart J. 2011;32:191–7.CrossRefPubMed
3.
go back to reference Moat NE, Ludman P, de Belder MA, Bridgewater B, Cunningham AD, Young CP, et al. Long-term outcomes after transcatheter aortic valve implantation in high-risk patients with severe aortic stenosis: the u.K. Tavi (united kingdom transcatheter aortic valve implantation) registry. J Am Coll Cardiol. 2011;58:2130–8.CrossRefPubMed Moat NE, Ludman P, de Belder MA, Bridgewater B, Cunningham AD, Young CP, et al. Long-term outcomes after transcatheter aortic valve implantation in high-risk patients with severe aortic stenosis: the u.K. Tavi (united kingdom transcatheter aortic valve implantation) registry. J Am Coll Cardiol. 2011;58:2130–8.CrossRefPubMed
4.
go back to reference Reinthaler M, Stahli BE, Gopalamurugan AB, Xiu PY, Aggarwal SK, Frohlich G, et al. Post-procedural arterial hypertension: implications for clinical outcome after transcatheter aortic valve implantation. J Heart Valve Dis. 2014;23:675–82.PubMed Reinthaler M, Stahli BE, Gopalamurugan AB, Xiu PY, Aggarwal SK, Frohlich G, et al. Post-procedural arterial hypertension: implications for clinical outcome after transcatheter aortic valve implantation. J Heart Valve Dis. 2014;23:675–82.PubMed
5.
go back to reference Brewster DC, Cronenwett JL, Hallett JW Jr, Johnston KW, Krupski WC, Matsumura JS. Guidelines for the treatment of abdominal aortic aneurysms. Report of a subcommittee of the joint council of the american association for vascular surgery and society for vascular surgery. J Vasc Surg. 2003;37:1106–17.CrossRefPubMed Brewster DC, Cronenwett JL, Hallett JW Jr, Johnston KW, Krupski WC, Matsumura JS. Guidelines for the treatment of abdominal aortic aneurysms. Report of a subcommittee of the joint council of the american association for vascular surgery and society for vascular surgery. J Vasc Surg. 2003;37:1106–17.CrossRefPubMed
6.
go back to reference Drury-Smith M, Garnham A, Khogali S. Critical aortic stenosis in a patient with a large saccular abdominal aortic aneurysm: simultaneous transcatheter aortic valve implantation and drive-by endovascular aortic aneurysm repair. Catheter Cardiovasc Interv. 2012;80:1014–8.CrossRefPubMed Drury-Smith M, Garnham A, Khogali S. Critical aortic stenosis in a patient with a large saccular abdominal aortic aneurysm: simultaneous transcatheter aortic valve implantation and drive-by endovascular aortic aneurysm repair. Catheter Cardiovasc Interv. 2012;80:1014–8.CrossRefPubMed
Metadata
Title
Successful transfemoral aortic valve implantation through aortic stent graft after endovascular repair of abdominal aortic aneurysm
Authors
Hideyuki Kawashima
Yusuke Watanabe
Ken Kozuma
Publication date
01-04-2017
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 2/2017
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-016-0385-1

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