Combined transaortic transcatheter valve replacement and thoracic endografting.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24484814.
- Also identified by DOI 10.1016/j.athoracsur.2013.05.099.
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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.
Medical subject headings
- Aortic Aneurysm, Thoracic
- Aortic Valve Stenosis
- Blood Vessel Prosthesis Implantation
- Cardiac Catheterization
- Endovascular Procedures
- Heart Valve Prosthesis Implantation