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You are here: Contents > 2015 > Volume 24 Number 3 May 2015 > AORTIC VALVE DISEASE > Large Abdominal Aortic Aneurysm in a High-Risk Surgical Patient: Combined Percutaneous Transfemoral TAVI and EVAR Procedure

Large Abdominal Aortic Aneurysm in a High-Risk Surgical Patient: Combined Percutaneous Transfemoral TAVI and EVAR Procedure

Federica Marchi1, Alfredo Giuseppe Cerillo2, Antonio Rizza1, Massimiliano Mariani1, Alberto Ranieri De Caterina1, Cataldo Palmieri1, Stefano Maffei1, Sergio Berti1

1Cardiology Unit and 2Cardiac Surgery Unit, Fondazione Toscana Gabriele Monasterio, Massa, Italy

A 78-year-old man was referred for surgical treatment of a 55 × 59 mm abdominal aortic aneurysm (AAA). However, clinical and instrumental data revealed a more complex case than was initially thought, the patient having a large AAA in the setting of severe symptomatic aortic stenosis with multiple comorbidities. Following multidisciplinary discussion, a combined transcatheter aortic valve

implantation and endovascular aneurysm repair was performed. The present case represents a good example of the importance of the heart team in the project of tailored operative strategies, and in the optimization of the interventional therapy for the individual patient.

The Journal of Heart Valve Disease 2015;24:310-312

Large Abdominal Aortic Aneurysm in a High-Risk Surgical Patient: Combined Percutaneous Transfemoral TAVI and EVAR Procedure

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