Combined transcatheter aortic valve implantation and type II endoleak repair after endovascular repair for abdominal aortic aneurysm.
This report describes an elderly severe aortic stenosis (AS) patient, who had a history of coronary artery bypass grafting and endovascular repair for an abdominal aortic aneurysm (AAA). Type II endoleak with enlargement of AAA was diagnosed and ligation of inferior mesenteric artery (IMA) was recommended. Because aortic valve replacement (AVR) was high risk, we planned transcatheter aortic valve implantation (TAVI). Considering risks of IMA ligation under dual antiplatelet therapy, increased blood pressure after TAVI, and general anesthesia, we performed combined TAVI and IMA ligation. TAVI could be useful for AS patients who are at high risk for AVR before non-cardiac surgery.
Division of Cardiology, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo, 101-8643, Japan.
Yu
Y
Horiuchi
Division of Cardiology, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo, 101-8643, Japan.
Mika
M
Izumo
Division of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
Takayoshi
T
Kusuhara
Division of Anesthesia, Mitsui Memorial Hospital, Tokyo, Japan.
Motoi
M
Yokozuka
Division of Cardiovascular Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
Takeshi
T
Taketani
Division of Cardiology, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo, 101-8643, Japan. kengo-t@zd5.so-net.ne.jp.
Kengo
K
Tanabe
D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
AAA; Aortic stenosis; EVAR; Non-cardiac surgery; TAVI