Simultaneous Transcatheter Aortic Valve Implantation and Drive-By Endovascular Aortic Aneurysm Repair with the Lotus Valve System

A 79-year-old man with severe, but stable, long-standing chronic obstructive pulmonary disease (COPD; FEV1 22%) was recently found to have a 6cm infrarenal fusiform abdominal aortic aneurysm (AAA) (figure A). He presented with progressively worsening breathlessness, disproportionate to his COPD, and echocardiography demonstrated critical calcified aortic stenosis (AS; mean gradient 93mmHg, aortic valve area 0.6cm2) with normal ejection fraction. He was deemed to be at prohibitive surgical risk by the Heart Team and therefore simultaneous endovascular aneurysm repair (EVAR) and transcatheter aortic valve replacement (TAVR) was recommended.

Source: Heart, Lung and Circulation - July 27, 2016 Category: Cardiology Authors: H. Rashid, L. McCormick, R. Gooley, S. Ramkumar, I. Meredith Tags: 460 Source Type: research