Arai Akihito, Tabata Mimiko, Takahashi Kenichiro, Izubuchi Ryo, Hayakawa Minako, Tsutsumi Joshi, Urabe Akihiro
Department of Cardiovascular Surgery, Yamato Seiwa Hospital, 9-8-2 Minami-rinkan, Yamato-shi 242-0006, Kanagawa, Japan.
Department of Cardiology, Yamato Seiwa Hospital, 9-8-2 Minami-rinkan, Yamato-shi 242-0006, Kanagawa, Japan.
J Surg Case Rep. 2025 Apr 22;2025(4):rjaf251. doi: 10.1093/jscr/rjaf251. eCollection 2025 Apr.
Transcatheter aortic valve replacement (TAVR) is an established treatment for managing severe aortic stenosis. Preoperative planning requires cautious identification of the access route, which can be challenging in patients with anatomical abnormalities of the aorta. Double aortic arch (DAA) is a congenital condition where the aorta bifurcates into two separate vessels that encircle the trachea and esophagus, thereby forming a vascular ring. This condition accounts for ~1% of congenital cardiovascular anomalies. Previous reports on TAVR performed on patients with DAA are limited, and there is no consensus on the appropriate access route. Herein, we present an 85-year-old female patient with DAA and aortic stenosis who underwent a successful TAVR using the direct aortic approach.
经导管主动脉瓣置换术（TAVR）是治疗重度主动脉瓣狭窄的既定疗法。术前规划需要谨慎确定入路途径，这对于存在主动脉解剖异常的患者可能具有挑战性。双主动脉弓（DAA）是一种先天性疾病，主动脉在此处分为两条独立的血管，环绕气管和食管，从而形成一个血管环。这种情况约占先天性心血管畸形的1%。既往关于对DAA患者进行TAVR的报道有限，对于合适的入路途径尚无共识。在此，我们报告一例85岁患有DAA和主动脉瓣狭窄的女性患者，她采用直接主动脉入路成功接受了TAVR。
