One-Stage Procedure for High-Risk Patients with Aortic Valve Stenosis and Aortic Aneurysm; A Case Series

Aortic Stenosis (AS) and Abdominal Aortic Aneurysm (AAA) typically affect elderly patients, both being associated with adverse outcomes if not adequately managed. Notably, these conditions can be present simultaneously in a significant percentage of cases. Choosing the optimal treatment for these patients is challenging and no clear recommendations are available. Yet, simultaneous treatment by the percutaneous intervention, especially in high surgical risk patients, appears attractive.

Herein, three cases of AAA and severe AS treated via Transcatheter Aortic Valve Implantation (TAVI) and Endovascular Aortic Repair (EVAR) within the same procedure have been reported in details for the first time.

The results indicated that one-stage intervention was an effective, safe, and feasible treatment for these two pathologies, especially in frail patients.