Critical aortic stenosis and acute ascending aortic penetrating ulcer managed utilizing transapical TAVR and TEVAR

Catheter Cardiovasc Interv. 2015 Oct;86(4):768-72. doi: 10.1002/ccd.25816. Epub 2015 Feb 3.

Abstract

Thoracic endovascular aortic repair (TEVAR) of acute ascending aortic pathology is feasible; however, the unique features of this aortic segment in addition to access challenges restricts its use to a select, high-risk subset of patients. With the advent of TAVR, large device delivery using transapical access has become a well-defined technique. We report a patient with critical aortic stenosis and an acute ascending aortic penetrating ulcer with tamponade managed successfully utilizing transapical TAVR and TEVAR. To our knowledge, this is the first reported case of a hybrid single-stage TAVR and ascending aortic TEVAR using transapical access.

Keywords: ascending aorta; endovascular; transcatheter valve.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged, 80 and over
  • Aorta / surgery*
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / surgery*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / methods*
  • Cardiac Catheterization / methods
  • Cardiac Tamponade / diagnostic imaging
  • Cardiac Tamponade / surgery
  • Combined Modality Therapy
  • Critical Illness
  • Echocardiography, Transesophageal / methods
  • Endovascular Procedures / methods
  • Female
  • Fluoroscopy / methods
  • Follow-Up Studies
  • Humans
  • Imaging, Three-Dimensional
  • Prosthesis Design
  • Tomography, X-Ray Computed / methods
  • Transcatheter Aortic Valve Replacement / methods*
  • Treatment Outcome
  • Ulcer / diagnostic imaging
  • Ulcer / surgery*