Successful Simultaneous Transfemoral Aortic Valve Implantation and Thoracic Endovascular Aortic Repair for Severe Aortic Valve Stenosis and a Large Dissecting Thoracic Aortic Aneurysm

Kayo Sugiyama, et al.

Objective: A few cases of simultaneous transcatheter aortic valve implantation (TAVI) and endovascular aortic repair (EVAR) have been reported; however, simultaneous TAVI and thoracic EVAR (TEVAR) are rare. We aimed to report the successful treatment of a case of severe aortic valve stenosis (AS) concomitant with a giant thoracic aortic aneurysm (TAA), in which TEVAR preceded TAVI.

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Transcatheter Pulmonary Valve Replacement with Adjunctive Intracardiac Echocardiography

Masayuki Fuki, Mike Saji, Mamoru Nanasato, Yuriko Shima, Satoshi Yazaki, Mitsuaki Isobe

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Impact of Straight Ascending Aorta Length on Difficulty of Transcatheter Heart Valve Crossing during Transcatheter Aortic Valve Replacement

Tatsuya Saigusa, et al.

Objective: Although most transcatheter aortic valve replacement (TAVR) procedures for symptomatic severe aortic valve stenosis (AS) can be performed successfully, there are some challenging cases with several specific anatomical characteristics, such as a horizontal aorta, aortic dilatation, and bicuspid aortic valve. A short, straight ascending aorta length (SAAL) can cause the transcatheter heart valve (THV) device to lack the distance required to orient in the direction of the aortic annulus, leading to failure to cross the aortic valve. This study aimed to examine the characteristics of SAAL and its association with the difficulty of THV device crossing.

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