Abstract
An 83-year-old male with multiple comorbidities presented with critical aortic stenosis and a saccular aortic arch aneurysm. Through a mini thoracotomy, a balloon expandable transcatheter aortic valve was delivered transapically. A thoracic stent graft was then delivered through the prosthetic valve and deployed in the arch, while a covered stent was deployed in the left common carotid artery. Three-year postoperative computed tomography showed a thrombosed arch aneurysm with decreased size. This case demonstrates the feasibility of using combined transapical transcatheter technologies to treat multicomponent disease in a high-risk patient during a single operation.
Highlights
Transcatheter approaches for managing complex aortic and aortic valve disease have been rapidly adopted, especially for high-risk patients
An 83-year-old male with multiple comorbidities presented with critical aortic stenosis and a saccular aortic arch aneurysm
A thoracic stent graft was delivered through the prosthetic valve and deployed in the arch, while a covered stent was deployed in the left common carotid artery
Summary
Transcatheter approaches for managing complex aortic and aortic valve disease have been rapidly adopted, especially for high-risk patients. A balloon expandable transcatheter aortic valve was delivered transapically. A thoracic stent graft was delivered through the prosthetic valve and deployed in the arch, while a covered stent was deployed in the left common carotid artery.
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