Advanced Multidisciplinary Management of Severe Aortic Stenosis and Chronic Aortic Dissection With Combined TAVR-TEVAR.

ABSTRACT:

Background

Aortic stenosis with concomitant aortic dissection poses unique challenges for transcatheter aortic valve replacement (TAVR). We present such a case in a patient with 29% ejection fraction and a horizontal aorta, in whom combined TAVR and thoracic endovascular aortic repair (TEVAR) was successfully performed. This case highlights the importance of multimodal imaging planning and multidisciplinary discussion in managing complex cardiovascular pathologies.

Case summary

An 82-year-old man with severe aortic stenosis, decompensated heart failure with 29% ejection fraction, multisegmented coronary artery disease (with 5 coronary stents implanted), chronic aortic dissection (Stanford B), and multiple aortic aneurysms underwent successful TAVR and TEVAR via left femoral

SUBMITTER: Liu Y 

PROVIDER: S-EPMC12441511 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature