Simultaneous minimalist transfemoral transcatheter aortic valve replacement and endovascular abdominal aortic repair: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

PU Zuo ¹ , FANG Kun ¹ , LUO Mingyao ¹ , WU Yongjian ² ,  SHU Chang ^1,3,4

1. Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P. R. China;
2. Coronary Heart Disease Center, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P. R. China;
3. Department of Vascular Surgery, the Second Xiangya Hospital, Central South University, Changsha, 410011, P. R. China;
4. Institute of Vascular Diseases, Central South University, Changsha, 410011, P. R. China;

Corresponding author：

SHU Chang, Email: changshu@vip.126.com

Keywords：

Transfemoral transcatheter aortic valve replacement; endovascular abdominal aortic repair; minimalism; case report

DOI：

10.7507/1007-4848.202306023

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Transcatheter aortic valve replacement and endovascular abdominal aortic repair have now become the first-line treatment options for aortic stenosis and abdominal aortic disease, respectively. For patients with both diseases, combined procedures have been reported in a few domestic and foreign publications. However, all the procedures were performed under general anesthesia. Here, we reported a case of simultaneous minimalist transfemoral transcatheter aortic valve replacement and endovascular repair of the abdominal aorta for a 78-year-old male patient with aortic stenosis and abdominal aortic ulcer, and the surgical results were satisfactory.

Citation： PU Zuo, FANG Kun, LUO Mingyao, WU Yongjian, SHU Chang. Simultaneous minimalist transfemoral transcatheter aortic valve replacement and endovascular abdominal aortic repair: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(9): 1347-1350. doi: 10.7507/1007-4848.202306023 Copy

1.	Pibarot P, Salaun E, Dahou A, et al. Echocardiographic results of transcatheter versus surgical aortic valve replacement in low-risk patients: The PARTNER 3 trial. Circulation, 2020, 141(19): 1527-1537.
2.	Forrest JK, Deeb GM, Yakubov SJ, et al. 2-year outcomes after transcatheter versus surgical aortic valve replacement in low-risk patients. J Am Coll Cardiol, 2022, 79(9): 882-896.
3.	Evangelista A, Czerny M, Nienaber C, et al. Interdisciplinary expert consensus on management of type B intramural haematoma and penetrating aortic ulcer. Eur J Cardiothorac Surg, 2015, 47(2): 209-217.
4.	Drury-Smith M, Garnham A, Khogali S. Critical aortic stenosis in a patient with a large saccular abdominal aortic aneurysm: simultaneous transcatheter aortic valve implantation and drive-by endovascular aortic aneurysm repair. Catheter Cardiovasc Interv, 2012, 80(6): 1014-1018.
5.	Wilbring M, Ghazy T, Matschke K, et al. Complete endovascular treatment of acute proximal ascending aortic dissection and combined aortic valve pathology. J Thorac Cardiovasc Surg, 2015, 149(4): e59-e60.
6.	罗建方, 范瑞新, 李光, 等. 一站式介入治疗重度主动脉瓣狭窄合并胸主动脉溃疡1例. 中国介入心脏病学杂志, 2019, 27(7): 408-410.Luo JF, Fan RX, Li G, et al. One-stop interventional therapy for severe aortic stenosis combined with thoracic aortic ulcer: a case report. Chin J Intervent Cardiol, 2019, 27(7): 408-410.
7.	陈阳, 王墨扬, 牛冠男, 等. 中国首例完全局部麻醉且无镇静下极简式经导管主动脉瓣置换术. 中国循环杂志, 2021, 36(10): 1027-1030.Chen Y, Wang MY, Niu GN, et al. China's first case of minimalist transcatheter aortic valve replacement under complete local anesthesia without sedation. Chin Circ J, 2021, 36(10): 1027-1030.

1. Pibarot P, Salaun E, Dahou A, et al. Echocardiographic results of transcatheter versus surgical aortic valve replacement in low-risk patients: The PARTNER 3 trial. Circulation, 2020, 141(19): 1527-1537.
2. Forrest JK, Deeb GM, Yakubov SJ, et al. 2-year outcomes after transcatheter versus surgical aortic valve replacement in low-risk patients. J Am Coll Cardiol, 2022, 79(9): 882-896.
3. Evangelista A, Czerny M, Nienaber C, et al. Interdisciplinary expert consensus on management of type B intramural haematoma and penetrating aortic ulcer. Eur J Cardiothorac Surg, 2015, 47(2): 209-217.
4. Drury-Smith M, Garnham A, Khogali S. Critical aortic stenosis in a patient with a large saccular abdominal aortic aneurysm: simultaneous transcatheter aortic valve implantation and drive-by endovascular aortic aneurysm repair. Catheter Cardiovasc Interv, 2012, 80(6): 1014-1018.
5. Wilbring M, Ghazy T, Matschke K, et al. Complete endovascular treatment of acute proximal ascending aortic dissection and combined aortic valve pathology. J Thorac Cardiovasc Surg, 2015, 149(4): e59-e60.
6. 罗建方, 范瑞新, 李光, 等. 一站式介入治疗重度主动脉瓣狭窄合并胸主动脉溃疡1例. 中国介入心脏病学杂志, 2019, 27(7): 408-410.Luo JF, Fan RX, Li G, et al. One-stop interventional therapy for severe aortic stenosis combined with thoracic aortic ulcer: a case report. Chin J Intervent Cardiol, 2019, 27(7): 408-410.
7. 陈阳, 王墨扬, 牛冠男, 等. 中国首例完全局部麻醉且无镇静下极简式经导管主动脉瓣置换术. 中国循环杂志, 2021, 36(10): 1027-1030.Chen Y, Wang MY, Niu GN, et al. China's first case of minimalist transcatheter aortic valve replacement under complete local anesthesia without sedation. Chin Circ J, 2021, 36(10): 1027-1030.

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Simultaneous minimalist transfemoral transcatheter aortic valve replacement and endovascular abdominal aortic repair: A case report

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