A one-stop operation of transcarotid transcatheter aortic valve replacement and patent ductus arteriosus: a case report_West China Medical Journal

Authors：

ZHANG Chunpeng , WANG Guan , LI Bo , LUO Qiang , WANG Heru , ZHAO Lei , WANG Zhihui ,  LIU Bin

Department of Cardiology, the Second Hospital of Jilin University, Changchun, Jilin 130041, P. R. China;

Corresponding author：

LIU Bin, Email: liubin3333@vip.sina.com

Keywords：

Aortic stenosis; patent ductus arteriosus; transcatheter aortic valve replacement

DOI：

10.7507/1002-0179.202203020

Video：

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This case was a 58-year-old female patient with patent ductus arteriosus (PDA) and severe aortic stenosis. Upon admission, she had severe heart failure and severe edema of both lower extremities unable to lie flat. After cardiac function adjustment and under general anesthesia, she underwent a one-stop operation of PDA occlusion and transcarotid transcatheter aortic valve replacement due to the severe aortic arch stenosis which brought high risk in transfemoral artery approach. Her symptoms improved significantly, and she was discharged only 6 days after operation. At the follow-up 3 months after operation, the aortic valve transvalvular pressure gradient improved significantly, the ductus arteriosus murmur disappeared, and the patient recovered well.

Citation： ZHANG Chunpeng, WANG Guan, LI Bo, LUO Qiang, WANG Heru, ZHAO Lei, WANG Zhihui, LIU Bin. A one-stop operation of transcarotid transcatheter aortic valve replacement and patent ductus arteriosus: a case report. West China Medical Journal, 2022, 37(4): 496-500. doi: 10.7507/1002-0179.202203020 Copy

1.	Galeczka M, Szkutnik M, Bialkowski J, et al. Transcatheter closure of patent ductus arteriosus in elderly patients: initial and one-year follow-up results-do we have the proper device?. J Interv Cardiol, 2020, 2020: 4585124.
2.	朱鲜阳, 秦永文. 常见先天性心脏病介入治疗中国专家共识. 介入放射学杂志, 2011, 20(1): 3-9.
3.	Whitlark JD, Lajos TZ, Visco JP. Combined aortic valve replacement and closure of patent ductus arteriosus in the elderly. J Card Surg, 1994, 9(2): 85-88.
4.	Motomatsu Y, Imasaka K, Tayama E, et al. Severe aortic stenosis and patent ductus arteriosus in an aged patient. Indian J Thorac Cardiovasc Surg, 2017, 33: 273-275.
5.	Glower DD, Bashore TM, Spritzer CE. Congenital aortic stenosis and patent ductus arteriosus in the adult. Ann Thorac Surg, 1992, 54(2): 368-370.
6.	Baruteau AE, Hascoët S, Baruteau J, et al. Transcatheter closure of patent ductus arteriosus: past, present and future. Arch Cardiovasc Dis, 2014, 107(2): 122-132.
7.	Adams DH, Popma JJ, Reardon MJ, et al. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med, 2014, 370(19): 1790-1798.
8.	王昌进, 罗淞元, 李捷. 经导管主动脉瓣置换术入路及血管并发症的研究现状. 华西医学, 2021, 36(9): 1177-1183.
9.	金力波, 吴昊, 冯卫中, 等. 不同路径行经导管主动脉瓣置换术安全性的系统评价与 Meta 分析. 中国胸心血管外科临床杂志, 2021, 28(7): 765-776.
10.	Debry N, Delhaye C, Azmoun A, et al. Transcarotid transcatheter aortic valve replacement: general or local anesthesia. JACC Cardiovasc Interv, 2016, 9(20): 2113-2120.
11.	Kirker EB, Hodson RW, Spinelli KJ, et al. The carotid artery as a preferred alternative access route for transcatheter aortic valve replacement. Ann Thorac Surg, 2017, 104(2): 621-629.
12.	Wudel JH, Damle S, Petty JV, et al. Utility of suprasternal transinnominate artery for alternate access in transcatheter aortic valve replacement. Innovations (Phila), 2021, 16(1): 58-62.
13.	Ahmed K, Hoque H, Zaman SM, et al. A case of patent ductus arteriosus with aortic stenosis. Univ Heart J, 2019, 15(2): 86-88.
14.	Takagi H, Yoshizawa M, Orii M, et al. Additive value of CT to age, aortic diameter, and echocardiography in diagnosis and classification of bicuspid aortic valve in patients with severe aortic stenosis. Radiol Cardiothorac Imaging, 2021, 3(1): e200423.
15.	Li Y, Wei X, Zhao Z, et al. Prevalence and complications of bicuspid aortic valve in Chinese according to echocardiographic database. Am J Cardiol, 2017, 120(2): 287-291.
16.	Jilaihawi H, Wu Y, Yang Y, et al. Morphological characteristics of severe aortic stenosis in China: imaging corelab observations from the first Chinese transcatheter aortic valve trial. Catheter Cardiovasc Interv, 2015, 85(Suppl 1): 752-761.

1. Galeczka M, Szkutnik M, Bialkowski J, et al. Transcatheter closure of patent ductus arteriosus in elderly patients: initial and one-year follow-up results-do we have the proper device?. J Interv Cardiol, 2020, 2020: 4585124.
2. 朱鲜阳, 秦永文. 常见先天性心脏病介入治疗中国专家共识. 介入放射学杂志, 2011, 20(1): 3-9.
3. Whitlark JD, Lajos TZ, Visco JP. Combined aortic valve replacement and closure of patent ductus arteriosus in the elderly. J Card Surg, 1994, 9(2): 85-88.
4. Motomatsu Y, Imasaka K, Tayama E, et al. Severe aortic stenosis and patent ductus arteriosus in an aged patient. Indian J Thorac Cardiovasc Surg, 2017, 33: 273-275.
5. Glower DD, Bashore TM, Spritzer CE. Congenital aortic stenosis and patent ductus arteriosus in the adult. Ann Thorac Surg, 1992, 54(2): 368-370.
6. Baruteau AE, Hascoët S, Baruteau J, et al. Transcatheter closure of patent ductus arteriosus: past, present and future. Arch Cardiovasc Dis, 2014, 107(2): 122-132.
7. Adams DH, Popma JJ, Reardon MJ, et al. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N Engl J Med, 2014, 370(19): 1790-1798.
8. 王昌进, 罗淞元, 李捷. 经导管主动脉瓣置换术入路及血管并发症的研究现状. 华西医学, 2021, 36(9): 1177-1183.
9. 金力波, 吴昊, 冯卫中, 等. 不同路径行经导管主动脉瓣置换术安全性的系统评价与 Meta 分析. 中国胸心血管外科临床杂志, 2021, 28(7): 765-776.
10. Debry N, Delhaye C, Azmoun A, et al. Transcarotid transcatheter aortic valve replacement: general or local anesthesia. JACC Cardiovasc Interv, 2016, 9(20): 2113-2120.
11. Kirker EB, Hodson RW, Spinelli KJ, et al. The carotid artery as a preferred alternative access route for transcatheter aortic valve replacement. Ann Thorac Surg, 2017, 104(2): 621-629.
12. Wudel JH, Damle S, Petty JV, et al. Utility of suprasternal transinnominate artery for alternate access in transcatheter aortic valve replacement. Innovations (Phila), 2021, 16(1): 58-62.
13. Ahmed K, Hoque H, Zaman SM, et al. A case of patent ductus arteriosus with aortic stenosis. Univ Heart J, 2019, 15(2): 86-88.
14. Takagi H, Yoshizawa M, Orii M, et al. Additive value of CT to age, aortic diameter, and echocardiography in diagnosis and classification of bicuspid aortic valve in patients with severe aortic stenosis. Radiol Cardiothorac Imaging, 2021, 3(1): e200423.
15. Li Y, Wei X, Zhao Z, et al. Prevalence and complications of bicuspid aortic valve in Chinese according to echocardiographic database. Am J Cardiol, 2017, 120(2): 287-291.
16. Jilaihawi H, Wu Y, Yang Y, et al. Morphological characteristics of severe aortic stenosis in China: imaging corelab observations from the first Chinese transcatheter aortic valve trial. Catheter Cardiovasc Interv, 2015, 85(Suppl 1): 752-761.

West China Medical Journal

A one-stop operation of transcarotid transcatheter aortic valve replacement and patent ductus arteriosus: a case report

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