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.
Similar content being viewed by others
References
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.
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.
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.
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.
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.
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.
Acknowledgments
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Yusuke Watanabe is proctor for Transfemoral TAVI for Edwards Company. None of the other authors have disclosures to declare.
Research involving human participants and/or animals
This case report is involving human participants.
Informed consent
This patient agreed to participate in this case report, and written informed consent was obtained from this patient.
Rights and permissions
About this article
Cite this article
Kawashima, H., Watanabe, Y. & Kozuma, K. Successful transfemoral aortic valve implantation through aortic stent graft after endovascular repair of abdominal aortic aneurysm. Cardiovasc Interv and Ther 32, 165–169 (2017). https://doi.org/10.1007/s12928-016-0385-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12928-016-0385-1