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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

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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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Authors and Affiliations

  1. MonashHeart, Monash Health, Melbourne, Australia

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

  2. Monash Cardiovascular Research Centre, Monash University, Melbourne, Australia

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

Authors
  1. Hashrul N. Rashid
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  2. Liam M. McCormick
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  3. Robert P. Gooley
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  4. Ian T. Meredith
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Corresponding author

Correspondence to Hashrul N. Rashid.

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Conflict of interest

There was no funding provided for this case report. Prof. Ian T Meredith has received consultant fees and honoraria from Boston Scientific and Medtronic and proctor fees from Boston Scientific. Dr Robert Gooley receives proctor fees from Boston Scientific.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Video 1; 25mm LotusTM delivery system was passed easily through the EVAR stents (mp4 795 kb)

Video 2; Aortography revealing no paravalvular regurgitation (mp4 1284 kb)

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Rashid, H.N., McCormick, L.M., Gooley, R.P. et al. 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. Cardiovasc Interv and Ther 32, 299–303 (2017). https://doi.org/10.1007/s12928-016-0424-y

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  • DOI: https://doi.org/10.1007/s12928-016-0424-y

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