Keywords : Aortic bifurcation disease
Canadian Journal of Medicine,
2021, Volume 3, Issue 1, Pages 45-51
Aortic valve stenosis (AS) and abdominal aorto-iliac stenosis typically affect elderly patients,
and both are associated with the adverse outcome if not adequately managed. Surgical
intervention is the first treatment in younger patients without significant comorbidities.
Notably, these conditions can be present simultaneously. The choice of the optimal treatment
of these patients is challenging, and no clear recommendations are available, but the option of
simultaneous treatment by percutaneous intervention, especially in high surgical-risk patients,
appeared to be attractive. We report a series of 2 cases with severe AS and aorto-iliac stenosis
referred to "Ospedale del Cuore" of Massa (Italy) who could not undergo surgical intervention.
They were treated with transcatheter aortic valve implantation (TAVI) and covered
endovascular reconstruction of aortic bifurcation (CERAB) within the same procedure. Our
case series showed that one-stage intervention is an effective, safe, and feasible treatment of
these two pathologies. In the future, this approach can represent the "gold-standard" for elderly
and frail subjects