Chronic Type A Aortic Dissection After Transcatheter Aortic Valve Replacement.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31760053.
- Also identified by DOI 10.1016/j.athoracsur.2019.09.079.
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Abstract
An 87-year-old man with a hostile ascending aorta who underwent transfemoral transcatheter aortic valve replacement (TAVR) using a 26-mm Sapien 3 valve (Edwards Lifesciences, Irvine, CA) 2 years earlier presented with chronic type A aortic dissection, which was retrospectively caused by the edge of the pusher of the TAVR implantation system. Redo sternotomy and extraction of the Sapien valve, followed by replacement of the ascending aorta and the aortic valve, were performed successfully. Retrospective image analysis showed the importance of respecting the anatomy of the ascending aorta before considering transfemoral TAVR.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Aortic Valve
- Aortic Valve Stenosis
- Postoperative Complications
- Transcatheter Aortic Valve Replacement