• Keith B Allen, Lesley M Johnson, Borkon A Michael AM Department of Cardiothoracic/Vascular Surgery, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri., Sanjeev Aggarwal, J Russell Davis, David J Cohen, Adnan K Chhatriwalla, Aaron Grantham, and Anthony Hart.
• Department of Cardiothoracic/Vascular Surgery, St. Luke's Mid America Heart & Vascular Institute, Kansas City, Missouri. Electronic address: kallen2340@aol.com.
• Ann. Thorac. Surg. 2015 Aug 1; 100 (2): 723-7.

AbstractVascular complications remain an important consideration when selecting access for delivery of large endovascular devices. With the advent of transcatheter aortic valve replacement, transapical access has become an acceptable technique when transfemoral or direct transaortic access is contraindicated. We report the use of the transapical approach during thoracic aortic endovascular repair in 2 patients, one of which included concomitant delivery of a transcatheter aortic valve replacement device. To our knowledge, this is the first reported case of a hybrid single-stage transcatheter aortic valve replacement and thoracic aortic endovascular repair using transapical access. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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