Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up
To the best of our knowledge, there have not been any reports of total transcatheter approach including stenting of severe coarctation of the aorta (CoA), transcatheter aortic valve replacement (TAVR) for concomitant severe aortic valve stenosis, and percutaneous coronary intervention (PCI) to treat...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Saudi Heart Association
2018-07-01
|
Series: | Journal of the Saudi Heart Association |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1016731518300320 |
id |
doaj-dee79fdf0e0245d1931326ba039f2c0c |
---|---|
record_format |
Article |
spelling |
doaj-dee79fdf0e0245d1931326ba039f2c0c2020-11-25T02:44:18ZengSaudi Heart AssociationJournal of the Saudi Heart Association1016-73152018-07-01303271275Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-upRaneem Fallatah0Abdelfatah Elasfar1Osama Amoudi2Mohamed Ajaz3Ibraheem AlHarbi4Reda Abuelatta5Madina Cardiac Center, Adult cardiology, Madinah, Saudi ArabiaaSaudi Arabia; King AbdulAziz University, Faculty of Medicine, Jeddah, Saudi ArabiabSaudi ArabiaMadina Cardiac Center, Adult cardiology, Madinah, Saudi ArabiaaSaudi Arabia; Cardiology Department, Tanta University, Tanta, EgyptcEgypt; Corresponding author at: Madina Cardiac Center, Khaled Ibn Elwaleed Road, 42351 Madinah, Saudi Arabia.Madina Cardiac Center, Adult cardiology, Madinah, Saudi ArabiaaSaudi ArabiaMadina Cardiac Center, Adult cardiology, Madinah, Saudi ArabiaaSaudi ArabiaMadina Cardiac Center, Adult cardiology, Madinah, Saudi ArabiaaSaudi ArabiaMadina Cardiac Center, Adult cardiology, Madinah, Saudi ArabiaaSaudi ArabiaTo the best of our knowledge, there have not been any reports of total transcatheter approach including stenting of severe coarctation of the aorta (CoA), transcatheter aortic valve replacement (TAVR) for concomitant severe aortic valve stenosis, and percutaneous coronary intervention (PCI) to treat significant coronary artery disease in a single patient. We report a 70-year-old female, who presented with uncontrolled hypertension and acute decompensated heart failure (ADHF) and was found to have severe CoA, severe bicuspid aortic valve (BAV) stenosis, and significant proximal left anterior descending (LAD) coronary artery disease. In a multidisciplinary heart team meeting, we decided to perform an endovascular repair of both cardiac and vascular pathologies using a two-stage approach due to the significant comorbidities; mainly uncontrolled hypertension, type 2 diabetes mellitus, chronic obstructive pulmonary disease, and severe calcifications of the ascending aorta. The procedures were successfully performed and the patient was asymptomatic 30 months later at follow-up and was without any significant gradients across the coarctation or the aortic valve. Keywords: Aortic valve stenosis, Coarctation of aorta, Covered stent, Transcatheter stentinghttp://www.sciencedirect.com/science/article/pii/S1016731518300320 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Raneem Fallatah Abdelfatah Elasfar Osama Amoudi Mohamed Ajaz Ibraheem AlHarbi Reda Abuelatta |
spellingShingle |
Raneem Fallatah Abdelfatah Elasfar Osama Amoudi Mohamed Ajaz Ibraheem AlHarbi Reda Abuelatta Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up Journal of the Saudi Heart Association |
author_facet |
Raneem Fallatah Abdelfatah Elasfar Osama Amoudi Mohamed Ajaz Ibraheem AlHarbi Reda Abuelatta |
author_sort |
Raneem Fallatah |
title |
Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up |
title_short |
Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up |
title_full |
Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up |
title_fullStr |
Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up |
title_full_unstemmed |
Endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up |
title_sort |
endovascular repair of severe aortic coarctation, transcatheter aortic valve replacement for severe aortic stenosis, and percutaneous coronary intervention in an elderly patient with long term follow-up |
publisher |
Saudi Heart Association |
series |
Journal of the Saudi Heart Association |
issn |
1016-7315 |
publishDate |
2018-07-01 |
description |
To the best of our knowledge, there have not been any reports of total transcatheter approach including stenting of severe coarctation of the aorta (CoA), transcatheter aortic valve replacement (TAVR) for concomitant severe aortic valve stenosis, and percutaneous coronary intervention (PCI) to treat significant coronary artery disease in a single patient. We report a 70-year-old female, who presented with uncontrolled hypertension and acute decompensated heart failure (ADHF) and was found to have severe CoA, severe bicuspid aortic valve (BAV) stenosis, and significant proximal left anterior descending (LAD) coronary artery disease. In a multidisciplinary heart team meeting, we decided to perform an endovascular repair of both cardiac and vascular pathologies using a two-stage approach due to the significant comorbidities; mainly uncontrolled hypertension, type 2 diabetes mellitus, chronic obstructive pulmonary disease, and severe calcifications of the ascending aorta. The procedures were successfully performed and the patient was asymptomatic 30 months later at follow-up and was without any significant gradients across the coarctation or the aortic valve. Keywords: Aortic valve stenosis, Coarctation of aorta, Covered stent, Transcatheter stenting |
url |
http://www.sciencedirect.com/science/article/pii/S1016731518300320 |
work_keys_str_mv |
AT raneemfallatah endovascularrepairofsevereaorticcoarctationtranscatheteraorticvalvereplacementforsevereaorticstenosisandpercutaneouscoronaryinterventioninanelderlypatientwithlongtermfollowup AT abdelfatahelasfar endovascularrepairofsevereaorticcoarctationtranscatheteraorticvalvereplacementforsevereaorticstenosisandpercutaneouscoronaryinterventioninanelderlypatientwithlongtermfollowup AT osamaamoudi endovascularrepairofsevereaorticcoarctationtranscatheteraorticvalvereplacementforsevereaorticstenosisandpercutaneouscoronaryinterventioninanelderlypatientwithlongtermfollowup AT mohamedajaz endovascularrepairofsevereaorticcoarctationtranscatheteraorticvalvereplacementforsevereaorticstenosisandpercutaneouscoronaryinterventioninanelderlypatientwithlongtermfollowup AT ibraheemalharbi endovascularrepairofsevereaorticcoarctationtranscatheteraorticvalvereplacementforsevereaorticstenosisandpercutaneouscoronaryinterventioninanelderlypatientwithlongtermfollowup AT redaabuelatta endovascularrepairofsevereaorticcoarctationtranscatheteraorticvalvereplacementforsevereaorticstenosisandpercutaneouscoronaryinterventioninanelderlypatientwithlongtermfollowup |
_version_ |
1724766511760932864 |