Simultaneous thoracic aortic endovascular graft and transfemoral transcatheter aortic valve replacement in a patient with a descending aortic thrombus |
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Authors: | Puja B Parikh Shang Loh Luis Gruberg Jonathan Weinstein Henry Tannous Thomas Bilfinger |
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Institution: | 1. Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States of America;2. Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY, United States of America |
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Abstract: | 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. |
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Keywords: | Aortic stenosis Transcatheter aortic valve replacement Thoracic aortic endograft Aortic thrombus |
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