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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e17-e20
DOI: 10.1055/s-0043-1764299
Case Report: Cardiac

Hybrid Thoracic Aortic Repair and Aortic Valve-In-Valve Replacement for Chronic Type A Dissection

Turki B. Albacker
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Faisal K. Alghamdi
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Ayman Alsaleh
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Talal Aljabary
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Ali Alshahrani
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Majid Alhomiedan
2   Radiology Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Fathi Zahran
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Yasser Abdulrahman
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Ahmed Eldemerdash
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
,
Bakir M. Bakir
1   Cardiac Sciences Department, King Saud University College of Medicine, Riyadh, Saudi Arabia
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Abstract

We describe a case of hybrid total thoracic aortic repair and valve-in-valve transcatheter aortic valve replacement in a high-risk patient with complicated chronic type A dissection and severe prosthetic aortic stenosis. The patient underwent a three-stage-procedure including aortic arch debranching, thoracic endovascular aortic repair of the ascending aorta, aortic arch and descending thoracic aorta, and direct aortic valve-in-valve replacement using transcatheter heart valve. The details of the procedures are described with a discussion of the challenges and the decision-making process.

Keywords

heart valve - transapical - percutaneous - endovascular aortic repair/stents - hybrid aortic repair - aortic disease

Authors' Contributions

T.B.A was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of the manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.

F.K.A. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of the manuscript, revising and editing the manuscript critically for important intellectual contents and final approval of the version to be published.

A.A. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of the manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.

T.A. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.

A.A. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.

M.A. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of the manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.

F.Z. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.

Y.A. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.

A.E. was responsible for conception and design of the study, literature review, analysis and interpretation of data, research investigation and analysis, drafting of the manuscript, revising and editing the manuscript critically for important intellectual contents, and final approval of the version to be published.




Publication History

Received: 25 November 2022

Accepted: 30 January 2023

Article published online:
20 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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