Combined Triple Transcatheter Aortic Procedure in a Patient With Aortic Stenosis, Coarctation, and Aneurysm

Wei Zhong; Cunren Li; Ben Ren; Zhidong Liu; Xianfang Wang; XianfangGu; Bin Ou; Min Zhong; Ernest Spitzer; Zhixiong Zhong

doi:10.1016/j.jaccas.2021.09.003

Combined Triple Transcatheter Aortic Procedure in a Patient With Aortic Stenosis, Coarctation, and Aneurysm

JACC Case Rep. 2021 Nov 17;3(16):1782-1786. doi: 10.1016/j.jaccas.2021.09.003.

Authors

Wei Zhong^{1

2

3}, Cunren Li^{1

2

3}, Ben Ren^{4

5}, Zhidong Liu^{1

2

3}, Xianfang Wang^{1

2

3}, XianfangGu^{1

2

3}, Bin Ou^{1

2

3}, Min Zhong^{1

2

3}, Ernest Spitzer^{4

5}, Zhixiong Zhong^{1

2

3}

Affiliations

¹ Center for Cardiovascular Diseases, Meizhou People's Hospital, Huangtang Hospital, Meizhou, China.
² Guangdong Provincial Engineering and Technology Research Center for Molecular Diagnostics of Cardiovascular Diseases, Meizhou, China.
³ Guangdong Provincial Key Laboratory of Precision Medicine and Clinical Translational Research of Hakka Population, Meizhou, China.
⁴ Cardialysis, Rotterdam, the Netherlands.
⁵ Cardiology Department, Thoraxcenter, Erasmus University Medical Center, Rotterdam, the Netherlands.

Abstract

We present the case of a 71-year-old man admitted because of chest tightness, palpitations, and progressive shortness of breath. The diagnosis of severe aortic stenosis, coarctation, and aneurysm was established, as well as severely depressed left ventricular ejection fraction. Three consecutive transcatheter procedures were successfully performed in a single session. (Level of Difficulty: Advanced.).

Keywords: AS, aortic stenosis; BNP, B-type natriuretic peptide; CTA, computed tomography angiography; ICU, intensive care unit; LVEF, left ventricular ejection fraction; MG, mean gradient; PBAAC, percutaneous balloon angioplasty of aortic coarctation; PG, peak gradient; TAVR, transcatheter aortic valve replacement; TEVAR, thoracic endovascular aortic repair; aortic coarctation; aortic valve; shortness of breath; systolic heart failure.

Publication types

Case Reports