Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2015

Open Access 01-12-2015 | Case report

Simultaneous percutaneous transcatheter aortic valve replacement and endovascular abdominal aortic aneurysm repair in a high risk patient with hostile aortic neck, a case report

Authors: Dimitrios Koudoumas, Vijay Iyer, Richard G. Curl

Published in: Journal of Cardiothoracic Surgery | Issue 1/2015

Login to get access

Abstract

Background

Abdominal aortic aneurysm (AAA) can be a potential life threatening condition if left untreated. Total endovascular techniques to approach aortic aneurysms have extended management options and enabled patients who are unfit for open surgery to undergo repair. Transcatheter aortic valve replacement is increasingly used to treat patients with severe symptomatic aortic stenosis, who once were considered high risk for traditional open aortic valve replacement.

Results

Herein we report the complete simultaneous treatment of an infrarenal AAA with hostile neck and severe aortic stenosis in a patient deemed high risk for surgical repair.

Conclusion

Advances in catheter based endovascular technology have enabled physicians to approach patients with AAA and valvular pathology even with multiple comorbidities that otherwise would be poor surgical candidates, even in the presence of challenging anatomic considerations and various comorbidities.
Literature
1.
Kordowicz A, Ghosh J, Baguneid M. A single centre experience of simultaneous open abdominal aortic aneurysm and cardiac surgery. Interact Cardiovasc Thorac Surg. 2010;10(1):63–6.CrossRefPubMed
2.
Lim S, Halandras PM, Park T, Lee Y, Crisostomo P, Hershberger R, et al. Outcomes of endovascular abdominal aortic aneurysm repair in high-risk patients. J Vasc Surg. 2015;61(4):862–8.CrossRefPubMed
3.
Klokocovnik T, Span M, Gregoric ID. Minimally invasive sternotomy for aortic valve replacement followed by a minilaparotomy for abdominal aneurysm repair. Heart Surg Forum. 2008;11(3):E181–3.CrossRefPubMed
4.
Thompson RW, Parks WC. Role of matrix metalloproteinases in abdominal aortic aneurysms. Ann N Y Acad Sci. 1996;800:157–74.CrossRefPubMed
5.
Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin 3rd JP, Guyton RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;63(22):e57–185.CrossRefPubMed
6.
Walker TG, Kalva SP, Yeddula K, Wicky S, Kundu S, Drescher P, et al. Clinical practice guidelines for endovascular abdominal aortic aneurysm repair: written by the Standards of Practice Committee for the Society of Interventional Radiology and endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Interventional Radiology Association. J Vasc Interv Radiol. 2010;21(11):1632–55.CrossRefPubMed
7.
Regeer MV, Versteegh MI, Klautz RJ, Stijnen T, Schalij MJ, Bax JJ, et al. Aortic valve repair versus replacement for aortic regurgitation: effects on left ventricular remodeling. J Card Surg. 2015;30(1):13–9.CrossRefPubMed
8.
Iezzi R, Cotroneo AR. Endovascular repair of abdominal aortic aneurysms: CTA evaluation of contraindications. Abdom Imaging. 2006;31(6):722–31.CrossRefPubMed
9.
Turnbull IC, Criado FJ, Sanchez L, Sadek M, Malik R, Ellozy SH, et al. Five-year results for the Talent enhanced Low Profile System abdominal stent graft pivotal trial including early and long-term safety and efficacy. J Vasc Surg. 2010;51(3):537–44. 44 e1–2.CrossRefPubMed
10.
Mehta M, Valdés FE, Nolte T, Mishkel GJ, Jordan WD, Gray B, et al. A Pivotal Clinical Study to Evaluate the Safety and Effectiveness of the Ovation Abdominal Stent Graft System Investigators. J Vasc Surg. 2014;60(2):275–85.CrossRefPubMed
11.
Aluko Y, Diehl L, Jacoby R, Chan B, Andrews S, McMillan E, et al. Simultaneous transcatheter aortic valve replacement and endovascular repair for critical aortic stenosis and large abdominal aortic aneurysm. Cardiovasc Revasc Med. 2015;16(4):254–8. doi: 10.​1016/​j.​carrev.​2014.​12.​001. Epub 2014 Dec 16.
12.
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(6):1014–8.CrossRefPubMed
13.
Drury-Smith M, Garnham A, Khogali S. Sequential trans-catheter aortic valve implantation and abdominal aortic aneurysm repair. Catheter Cardiovasc Interv. 2012;79(5):784–8.CrossRefPubMed
14.
Blochle R, Lall P, Cherr GS, Harris LM, Dryjski ML, Hsu HK, et al. Management of patients with concomitant lung cancer and abdominal aortic aneurysm. Am J Surg. 2008;196(5):697–702.CrossRefPubMed
15.
Lauro S, Lanzetta G, Bria E, Trasatti L, Gelibter A, Vecchione A. Antiblastic chemotherapy in the presence of abdominal aorta aneurysm (AAA): guidelines. Anticancer Res. 1999;19(2B):1439–44.PubMed
Metadata
Title
Simultaneous percutaneous transcatheter aortic valve replacement and endovascular abdominal aortic aneurysm repair in a high risk patient with hostile aortic neck, a case report
Authors
Dimitrios Koudoumas
Vijay Iyer
Richard G. Curl
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2015
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-015-0392-9

Other articles of this Issue 1/2015

Journal of Cardiothoracic Surgery 1/2015 Go to the issue

Research article

An excellent result of surgical treatment in patients with severe pulmonary arterial hypertension following mitral valve disease

Research article

Custodiol-N, the novel cardioplegic solution reduces ischemia/reperfusion injury after cardiopulmonary bypass

Case report

Mitral degenerative disease mimicking a valvular tumor: a case report

Study protocol

Full-root aortic valve replacement with stentless xenograft achieves superior regression of left ventricular hypertrophy compared to pericardial stented aortic valves

Research article

Posterior mitral annuloplasty for enhancing mitral leaflet coaptation: using a strip designed for placement in the posterior annulus

Research article

Anomalous origin of the right pulmonary artery from the ascending aorta: results of direct implantation surgical repair in 6 infants