Severe aortic stenosis associated to large abdominal aortic aneurysm: concomitant treatment with transcatheter aortic valve replacement and endovascular aneurysm repair
An 85-year-old patient with multiple comorbidities presents with severe symptomatic aortic stenosis and concomitant infrarenal abdominal aortic aneurysm with 100mm in diameter. A transcatheter aortic valve replacement was done along with concomitant percutaneous repair of the aneurysm. The therapeutic strategy was initially to implant the transcatheter aortic valve prosthesis, and then to perform the implantation of the aortic bifurcated endograft, with extensions to the right and to the left, to exclude a large fusiform aneurysm, due to the high risk of rupture with the hemodynamic changes after aortic bioprosthesis implant. The procedure was performed without complications, and the patient was discharged from hospital after 4 days, with no alterations in renal function, minimal paravalvular regurgitation, and no endoleak at the exclusion of the abdominal aneurysm.
Severe aortic stenosis associated to large abdominal aortic aneurysm: concomitant treatment with transcatheter aortic valve replacement and endovascular aneurysm repair
Nunes,Júlio Tinoco and Tinoco,Eugênio Carlos de Almeida and Gallo,Emanuela de Oliveira and Pereira,Monique Bandoli França and Hipólito,Luiz Vinícius Andrade and Silva,Antônio Carlos Botelho da. Severe aortic stenosis associated to large abdominal aortic aneurysm: concomitant treatment with transcatheter aortic valve replacement and endovascular aneurysm repair. J Transcat Intervent [online]. 2019, vol.27, [cited 2026-03-06], Available from: <https://jotci.org/article/severe-aortic-stenosis-associated-to-large-abdominal-aortic-aneurysm-concomitant-treatment-with-transcatheter-aortic-valve-replacement-and-endovascular-aneurysm-repair/>. ISSN . http://doi.org/10.31160/JOTCI2019;27A201757.
Nunes,Júlio Tinoco; Tinoco,Eugênio Carlos de Almeida; Gallo,Emanuela de Oliveira; Pereira,Monique Bandoli França; Hipólito,Luiz Vinícius Andrade; Silva,Antônio Carlos Botelho da. Severe aortic stenosis associated to large abdominal aortic aneurysm: concomitant treatment with transcatheter aortic valve replacement and endovascular aneurysm repair. J Transcat Intervent, v.27, Jan. 2019. Available from: <https://jotci.org/article/severe-aortic-stenosis-associated-to-large-abdominal-aortic-aneurysm-concomitant-treatment-with-transcatheter-aortic-valve-replacement-and-endovascular-aneurysm-repair/>. acess on 06 Mar. 2026. http://doi.org/10.31160/JOTCI2019;27A201757.
Nunes,Júlio Tinoco, & Tinoco,Eugênio Carlos de Almeida, & Gallo,Emanuela de Oliveira, & Pereira,Monique Bandoli França, & Hipólito,Luiz Vinícius Andrade, & Silva,Antônio Carlos Botelho da. (2019). Severe aortic stenosis associated to large abdominal aortic aneurysm: concomitant treatment with transcatheter aortic valve replacement and endovascular aneurysm repair. J Transcat Intervent, 27, http://doi.org/10.31160/JOTCI2019;27A201757.
NunesJúlio Tinoco, TinocoEugênio Carlos de Almeida, GalloEmanuela de Oliveira, PereiraMonique Bandoli França, HipólitoLuiz Vinícius Andrade, SilvaAntônio Carlos Botelho da. Severe aortic stenosis associated to large abdominal aortic aneurysm: concomitant treatment with transcatheter aortic valve replacement and endovascular aneurysm repair. J Transcat Intervent [Internet]. 2019 Jan [cited 2026 Mar 06]; 27: Available from: https://jotci.org/article/severe-aortic-stenosis-associated-to-large-abdominal-aortic-aneurysm-concomitant-treatment-with-transcatheter-aortic-valve-replacement-and-endovascular-aneurysm-repair/. http://doi.org/10.31160/JOTCI2019;27A201757.
Figura 4
Resultado angiográfico após implante de endopróteses em aorta abdominal e artérias ilíacas.
