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Case Reports
. 2021 Jul 6;9(7):e04412.
doi: 10.1002/ccr3.4412. eCollection 2021 Jul.

Immediate aortic dissection after transcatheter aortic valve replacement: A case report and review of the literature

Pongprueth Rujirachun  1 , Apichaya Junyavoraluk  2 , Decho Jakrapanichakul  3 , Nattawut Wongpraparut  3 , Narathip Chunhamaneewat  3 , Adisak Maneesai  3 , Pranya Sakiyalak  4
Affiliations
Case Reports

Immediate aortic dissection after transcatheter aortic valve replacement: A case report and review of the literature

Pongprueth Rujirachun et al. Clin Case Rep. .

Abstract

-Aortic dissection of descending aorta was detected by intraoperative TEE in a case of 67-year-old man with symptomatic severe aortic stenosis after TAVR. -Transesophageal echocardiogram after TAVR procedure is helpful to detect this rare complication.

Keywords: acute complication; aortic dissection; thoracic endovascular aortic repair (TEVAR); transcatheter aortic valve replacement (TAVR); transesophageal echocardiogram (TEE).

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Three‐dimensional CTA showing scattered plaques with calcification of the ascending aorta without aortic dissection and stenosis before TAVR
FIGURE 2
FIGURE 2
Angiogram after TAVR showing no evidence of dissection or rupture at the thoracic aorta. The previously implanted aortic valve can be well seen
FIGURE 3
FIGURE 3
Intraoperative transesophageal echocardiogram after TAVR showing the further extent of the echo‐lucent area in the descending aorta by serial TEE from A (Red arrow) to B (Green arrow)
FIGURE 4
FIGURE 4
Final angiogram after stent graft deployment at the descending aorta (Red arrow). The previously implanted aortic valve can be well seen (Green arrow)
See this image and copyright information in PMC

References

    1. Masson JB, Kovac J, Schuler G, et al. Transcatheter aortic valve implantation: review of the nature, management, and avoidance of procedural complications. JACC Cardiovasc Interv. 2009;2:811‐820. - PubMed
    1. Kratimenos T, Dedeilias P, Baikoussis N, Karameri V, Argiriou M. Iatrogenic dissection of the descending aorta: conservative or endovascular treatment? Ann Card Anaesth. 2016;19:554‐556. - PMC - PubMed
    1. Hein R, Abdel‐Wahab M, Sievert H, et al. Outcome of patients after emergency conversion from transcatheter aortic valve implantation to surgery. EuroIntervention. 2013;9:446‐451. - PubMed
    1. Nagasawa A, Shirai S, Hanyu M, Arai Y, Kamioka N, Hayashi M. Descending aortic dissection injured by tip of the sheath during transcatheter aortic valve implantation. Cardiovasc Interv Ther. 2016;31:122‐127. - PubMed
    1. Van Mieghem NM, De Jaegere PP. Intravascular ultrasound‐guided stenting of left main stem dissection after medtronic corevalve implantation. Catheter Cardiovasc Interv. 2013;82:240‐244. - PubMed

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