Abstract
This report describes an elderly severe aortic stenosis (AS) patient, who had a history of coronary artery bypass grafting and endovascular repair for an abdominal aortic aneurysm (AAA). Type II endoleak with enlargement of AAA was diagnosed and ligation of inferior mesenteric artery (IMA) was recommended. Because aortic valve replacement (AVR) was high risk, we planned transcatheter aortic valve implantation (TAVI). Considering risks of IMA ligation under dual antiplatelet therapy, increased blood pressure after TAVI, and general anesthesia, we performed combined TAVI and IMA ligation. TAVI could be useful for AS patients who are at high risk for AVR before non-cardiac surgery.
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Yu Horiuchi, Takayoshi Kusuhara, and Kengo Tanabe received lecture fee from Edwards Lifesciences Corporation.
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All procedures performed in the report were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Horiuchi, Y., Izumo, M., Kusuhara, T. et al. Combined transcatheter aortic valve implantation and type II endoleak repair after endovascular repair for abdominal aortic aneurysm. Cardiovasc Interv and Ther 32, 304–307 (2017). https://doi.org/10.1007/s12928-016-0425-x
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DOI: https://doi.org/10.1007/s12928-016-0425-x