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Published in: Journal of Cardiothoracic Surgery 1/2016

Open Access 01-12-2016 | Case report

Transfemoral transcatheter aortic valve implantation in a patient with multiple endovascular aortic stents – a case report

Authors: Carolyn Weber, Antje-Christin Deppe, Kaveh Eghbalzadeh, Maximilian Scherner, Daphne Gray, Payman Majd, Michael Gawenda, Stephan Rosenkranz, Tanja Rudolph, Navid Madershahian, Thorsten Wahlers

Published in: Journal of Cardiothoracic Surgery | Issue 1/2016

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Abstract

Background

In patients undergoing transfemoral transcatheter aortic valve implantation, previous endovascular interventions bear a risk for the valve frame to get stucked to the aortic stents.

Case Presentation

We report on a 75-year-old frail patient with severe aortic stenosis and a rapid increase of an infra-renal aneurysm. He had a history of multiple endovascular interventions on the aorta. Due to his frail preoperative status we decided to perform a transfemoral transcatheter aortic valve implantation in combination with a simultaneous surgical abdominal aneurysm repair. To allow an atraumatic passage of the Edwards SAPIEN 3 valve across the endovascular stents we used a special technique.

Conclusions

The transfemoral approach in patients with previous endovascular stenting can be performed successfully by a partial inflation of the distal balloon.
Literature
1.
go back to reference Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363(17):1597–607. doi:10.1056/NEJMoa1008232.CrossRefPubMed Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363(17):1597–607. doi:10.​1056/​NEJMoa1008232.CrossRefPubMed
3.
go back to reference Davies WR, Bapat VN, Hancock JE, Young CP, Redwood SR, Thomas MR. Direct TAVI using a balloon-expandable system: a novel technique to eliminate pre-deployment balloon aortic valvuloplasty. EuroIntervention. 2014;10(2):248–52. doi:10.4244/eijv10i2a40.CrossRefPubMed Davies WR, Bapat VN, Hancock JE, Young CP, Redwood SR, Thomas MR. Direct TAVI using a balloon-expandable system: a novel technique to eliminate pre-deployment balloon aortic valvuloplasty. EuroIntervention. 2014;10(2):248–52. doi:10.​4244/​eijv10i2a40.CrossRefPubMed
4.
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(6):1014–8. doi:10.1002/ccd.23452.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(6):1014–8. doi:10.​1002/​ccd.​23452.CrossRefPubMed
5.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
6.
go back to reference Ayhan H, Durmaz T, Kele ST, CanyiGit M, UĞuz E, Kasapkara HA, et al. Simultaneously successful transfemoral aortic valve implantation and endovascular repair of thoracic aortic saccular aneurysm. Int Heart J. 2014;55(5):459–62.CrossRefPubMed Ayhan H, Durmaz T, Kele ST, CanyiGit M, UĞuz E, Kasapkara HA, et al. Simultaneously successful transfemoral aortic valve implantation and endovascular repair of thoracic aortic saccular aneurysm. Int Heart J. 2014;55(5):459–62.CrossRefPubMed
7.
8.
go back to reference Ghosh-Dastidar M, Dworakowski R, Lioupis C, Maccarthy P, Valenti D, El Gamel A, et al. The combined treatment of aortic stenosis and abdominal aortic aneurysm using transcatheter techniques: a case report. J Cardiovasc Surg (Torino). 2011;52(6):895–8. Ghosh-Dastidar M, Dworakowski R, Lioupis C, Maccarthy P, Valenti D, El Gamel A, et al. The combined treatment of aortic stenosis and abdominal aortic aneurysm using transcatheter techniques: a case report. J Cardiovasc Surg (Torino). 2011;52(6):895–8.
Metadata
Title
Transfemoral transcatheter aortic valve implantation in a patient with multiple endovascular aortic stents – a case report
Authors
Carolyn Weber
Antje-Christin Deppe
Kaveh Eghbalzadeh
Maximilian Scherner
Daphne Gray
Payman Majd
Michael Gawenda
Stephan Rosenkranz
Tanja Rudolph
Navid Madershahian
Thorsten Wahlers
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2016
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-016-0421-3

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