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Published in: Cardiovascular Intervention and Therapeutics 3/2017

01-07-2017 | Case Report

Simultaneous transcatheter aortic valve implantation and drive-by endovascular aortic aneurysm repair: a case of lotus valve retrieved and replaced due to an undersized valve after an endovascular aneurysm repair

Authors: Hashrul N. Rashid, Liam M. McCormick, Robert P. Gooley, Ian T. Meredith

Published in: Cardiovascular Intervention and Therapeutics | Issue 3/2017

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Abstract

A 79-year-old man with stable chronic obstructive pulmonary disease was found to have an abdominal aortic aneurysm and worsening dyspnoea. Echocardiography demonstrated critical aortic stenosis. Simultaneous endovascular aneurysm repair (EVAR) and transcatheter aortic valve replacement (TAVR) was recommended due to high surgical risk. Procedural strategy was to perform balloon valvuloplasty (BAV), followed by EVAR then TAVR. The initial 25 mm Lotus valve adopted a barrel shape suggestive of an undersized valve and was thus replaced with a 27 mm valve. Post procedural echo revealed no regurgitation. We report here for the first time a successful simultaneous TAVR/EVAR using the fully retrievable Lotus Valve.
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Metadata
Title
Simultaneous transcatheter aortic valve implantation and drive-by endovascular aortic aneurysm repair: a case of lotus valve retrieved and replaced due to an undersized valve after an endovascular aneurysm repair
Authors
Hashrul N. Rashid
Liam M. McCormick
Robert P. Gooley
Ian T. Meredith
Publication date
01-07-2017
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 3/2017
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-016-0424-y

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