Sanoussi Abderrahim, Aminian Adel, Abi-Khalil Jâd
Department of Vascular Surgery, Centre Hospitalier Universitaire de Charleroi, 140, Chaussée de Bruxelles, 6042 Charleroi, Belgique.
Departement of Interventional Cardiology, Centre Hospitalier Universitaire de Charleroi, 140, Chaussée de Bruxelles, 6042 Charleroi, Belgique.
Radiol Case Rep. 2024 Jan 4;19(3):1162-1165. doi: 10.1016/j.radcr.2023.12.041. eCollection 2024 Mar.
The management of patients with severe aortic valve stenosis and an abdominal aortic aneurysm is a real therapeutic challenge. Minimally invasive treatment is more beneficial than open surgery for treating both aortic valve stenosis and abdominal aortic aneurysm. We present a case of a 77-year-old male initially treated with a 26 mm Sapien 3 transcatheter aortic valve replacement. Subsequently, using the same femoral access points, a custom fenestrated endoprosthesis and stents in digestive trunks and renal arteries were implanted. Follow-up imaging revealed no dysfunction of the valve, endoprosthesis, or stents. This is the first reported successful concomitant management of significant aortic valve stenosis and infrarenal abdominal aortic aneurysm through transcatheter aortic valve replacement and fenestrated endovascular aortic aneurysm repair.
重度主动脉瓣狭窄合并腹主动脉瘤患者的管理是一项真正的治疗挑战。对于治疗主动脉瓣狭窄和腹主动脉瘤，微创治疗比开放手术更有益。我们报告一例77岁男性患者，最初接受了26毫米Sapien 3经导管主动脉瓣置换术。随后，通过相同的股动脉入路点，植入了定制的开窗型人工血管以及位于消化干和肾动脉的支架。随访影像学检查显示瓣膜、人工血管或支架均无功能障碍。这是首次报道通过经导管主动脉瓣置换术和开窗型血管腔内腹主动脉瘤修复术成功同时治疗重度主动脉瓣狭窄和肾下腹主动脉瘤。
