Severe aortic stenosis associated to large abdominal aortic aneurysm: concomitant treatment with transcatheter aortic valve replacement and endovascular aneurysm repair

Abstract

An 85-year-old patient with multiple comorbidities presents with severe symptomatic aortic stenosis and concomitant infrarenal abdominal aortic aneurysm with 100mm in diameter. A transcatheter aortic valve replacement was done along with concomitant percutaneous repair of the aneurysm. The therapeutic strategy was initially to implant the transcatheter aortic valve prosthesis, and then to perform the implantation of the aortic bifurcated endograft, with extensions to the right and to the left, to exclude a large fusiform aneurysm, due to the high risk of rupture with the hemodynamic changes after aortic bioprosthesis implant. The procedure was performed without complications, and the patient was discharged from hospital after 4 days, with no alterations in renal function, minimal paravalvular regurgitation, and no endoleak at the exclusion of the abdominal aneurysm.