title: Combined Transcatheter Aortic Valve Replacement and Thoracic Endovascular Aortic Repair Using Transapical Access.
abstract: Vascular complications remain an important consideration when selecting access for delivery of large endovascular devices. With the advent of transcatheter aortic valve replacement, transapical access has become an acceptable technique when transfemoral or direct transaortic access is contraindicated. We report the use of the transapical approach during thoracic aortic endovascular repair in 2 patients, one of which included concomitant delivery of a transcatheter aortic valve replacement device. To our knowledge, this is the first reported case of a hybrid single-stage transcatheter aortic valve replacement and thoracic aortic endovascular repair using transapical access.
authors.affiliation: Department of Cardiothoracic/Vascular Surgery, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri. Electronic address: kallen2340@aol.com.
authors.forename: Keith B
authors.initials: KB
authors.lastname: Allen
authors.affiliation: Department of Cardiothoracic/Vascular Surgery, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: Lesley M
authors.initials: LM
authors.lastname: Johnson
authors.affiliation: Department of Cardiothoracic/Vascular Surgery, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: A Michael
authors.initials: AM
authors.lastname: Borkon
authors.affiliation: Department of Cardiothoracic/Vascular Surgery, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Aggarwal
authors.affiliation: Department of Cardiothoracic/Vascular Surgery, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: J Russell
authors.initials: JR
authors.lastname: Davis
authors.affiliation: Department of Cardiology, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: David J
authors.initials: DJ
authors.lastname: Cohen
authors.affiliation: Department of Cardiology, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: Adnan K
authors.initials: AK
authors.lastname: Chhatriwalla
authors.affiliation: Department of Cardiology, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: Aaron
authors.initials: A
authors.lastname: Grantham
authors.affiliation: Department of Cardiology, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri.
authors.forename: Anthony
authors.initials: A
authors.lastname: Hart
mesh_terms: D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D065467:Transcatheter Aortic Valve Replacement