title: Simultaneous transcatheter aortic valve replacement and endovascular repair for critical aortic stenosis and large abdominal aortic aneurysm.
abstract: A 75-year-old man with severe aortic stenosis, severe chronic obstructive pulmonary disease, NYHA class III heart failure and a large abdominal aortic aneurysm underwent concurrent transfemoral transcatheter aortic valve replacement (TF-TAVR) and endovascular aneurysm repair (EVAR). An Edwards Sapien device was implanted with resolution of hemodynamics. EVAR was performed using an Endurant bifurcated stent graft system. We describe the procedure technique, periprocedural management and one year outcome. To the authors' best knowledge, this is the first case of simultaneous TF-TAVR and EVAR published in North America.
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC. Electronic address: aoaluko@novanthealth.org.
authors.forename: Yele
authors.initials: Y
authors.lastname: Aluko
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Lance
authors.initials: L
authors.lastname: Diehl
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Richard
authors.initials: R
authors.lastname: Jacoby
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Barry
authors.initials: B
authors.lastname: Chan
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Scott
authors.initials: S
authors.lastname: Andrews
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Edward
authors.initials: E
authors.lastname: McMillan
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Kevin
authors.initials: K
authors.lastname: Sharkey
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Paul
authors.initials: P
authors.lastname: Shook
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: William
authors.initials: W
authors.lastname: Ntim
authors.affiliation: University of Tennessee Health Science Center, Memphis TN.
authors.forename: Oluwaseyi
authors.initials: O
authors.lastname: Bolorunduro
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Leslie B
authors.initials: LB
authors.lastname: Sossoman
authors.affiliation: Novant Health Heart and Vascular Institute, Charlotte NC.
authors.forename: Cathy
authors.initials: C
authors.lastname: Rabb
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods; D016896:Treatment Outcome
keywords: Complications; TAVR; Valvular heart disease