Successful transfemoral aortic valve implantation through aortic stent graft after endovascular repair of abdominal aortic aneurysm

Cardiovasc Interv Ther. 2017 Apr;32(2):165-169. doi: 10.1007/s12928-016-0385-1. Epub 2016 Mar 5.

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.

Keywords: Abdominal aortic aneurysm; Aortic valve stenosis/therapy; Catheterization; Endovascular procedures; Transcatheter aortic valve implantation.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Catheterization, Peripheral / methods*
  • Endovascular Procedures / methods*
  • Female
  • Femoral Artery
  • Humans
  • Imaging, Three-Dimensional
  • Stents*
  • Tomography, X-Ray Computed
  • Transcatheter Aortic Valve Replacement / methods*