Simultaneous thoracic aortic endovascular graft and transfemoral transcatheter aortic valve replacement in a patient with a descending aortic thrombus.


Journal

Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
Titre abrégé: Cardiovasc Revasc Med
Pays: United States
ID NLM: 101238551

Informations de publication

Date de publication:
01 2019
Historique:
received: 31 05 2018
revised: 16 07 2018
accepted: 13 08 2018
pubmed: 2 9 2018
medline: 12 2 2020
entrez: 2 9 2018
Statut: ppublish

Résumé

Severe descending thoracic and abdominal aortic pathology can deter consideration of transfemoral (TF) access for transcatheter aortic valve replacement (TAVR) in adults with severe symptomatic aortic stenosis (AS) and may lead to utilization of alternative access sites. We report a case of an 88-year-old frail woman with severe symptomatic AS referred for TAVR with demonstration of a large thrombus in the descending thoracic aorta immediately distal to the left subclavian artery. Given concerns of thrombus embolization with femoral advancement of the transcatheter valve, coverage with a thoracic aortic endograft was planned immediately prior to the TAVR.

Identifiants

pubmed: 30170829
pii: S1553-8389(18)30386-5
doi: 10.1016/j.carrev.2018.08.012
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

87-88

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Puja B Parikh (PB)

Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States of America. Electronic address: puja.parikh@stonybrookmedicine.edu.

Shang Loh (S)

Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, United States of America.

Luis Gruberg (L)

Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States of America.

Jonathan Weinstein (J)

Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States of America.

Henry Tannous (H)

Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, United States of America.

Thomas Bilfinger (T)

Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, United States of America.

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Classifications MeSH