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CC BY 4.0 · Aorta (Stamford) 2016; 04(05): 175-177
DOI: 10.12945/j.aorta.2016.16.030
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Combined Transapical Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair for Severe Aortic Stenosis and Arch Aneurysm

Yuanjia Zhu
1   Aortic Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
,
Eric E. Roselli
1   Aortic Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
2   Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
,
Jay J. Idrees
1   Aortic Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
2   Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
,
Samir Kapadia
3   Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
,
Lars G. Svensson
1   Aortic Center, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
2   Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
› Author Affiliations
Further Information

Publication History

23 May 2016

23 October 2016

Publication Date:
24 September 2018 (online)

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Abstract

An 83-year-old male with multiple comorbidities presented with critical aortic stenosis and a saccular aortic arch aneurysm. Through a mini thoracotomy, a balloon expandable transcatheter aortic valve was delivered transapically. A thoracic stent graft was then delivered through the prosthetic valve and deployed in the arch, while a covered stent was deployed in the left common carotid artery. Three-year postoperative computed tomography showed a thrombosed arch aneurysm with decreased size. This case demonstrates the feasibility of using combined transapical transcatheter technologies to treat multicomponent disease in a high-risk patient during a single operation.

Key Words

Aortic valve - Aortic arch aneurysm - Thoracic endovascular aortic repair
 

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