Combined transaortic transcatheter valve replacement and thoracic endografting.
Direct transaortic (TAo) approach for transcatheter aortic valve replacement (TAVR) in patients with symptomatic, severe aortic stenosis (AS) with prohibitive transfemoral access is being increasingly performed. Furthermore, concomitant catheter-based procedures such as percutaneous coronary intervention (PCI) are also being increasingly performed during TAVR. We report a single-stage, catheter-based treatment of both critical AS and descending thoracic aortic aneurysm (DTA) by performing TAVR with concomitant thoracic aortic endovascular repair (TEVAR) through direct TAo access via a minimally invasive partial sternotomy approach. To our knowledge, this is the first report of a "hybrid" TAVR+TEVAR.
Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Caroline M
CM
Komlo
Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Prashanth
P
Vallabhajosyula
Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Joseph E
JE
Bavaria
Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Nimesh D
ND
Desai
Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Saif
S
Anwaruddin
Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jay S
JS
Giri
Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Howard C
HC
Herrmann
Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: wilson.szeto@uphs.upenn.edu.
Wilson Y
WY
Szeto
D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006328:Cardiac Catheterization; D057510:Endovascular Procedures; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans
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