Simultaneous Transcatheter Aortic Valve Replacement and Endovascular Aneurysm Repair in a Patient With Peripheral Artery Disease Requiring Surgical Vascular Access: A Case Report

Abstract

Aortic stenosis, abdominal aortic aneurysm, and peripheral artery disease are common comorbidities with shared risk factors. As the population ages, more patients will require intervention to reduce morbidity and mortality from these entities. We present a 78-year-old woman with severe aortic stenosis, abdominal aortic aneurysm (8.1 × 4.9 × 4.8 cm), and severe peripheral artery disease. Simultaneous transcatheter aortic valve replacement and endovascular aneurysm repair were performed, with surgical cutdown of the right common femoral artery and then a right femoral endarterectomy required. The patient was discharged home 2 days later. A multidisciplinary approach with careful preoperative planning was key.