Aortic injury is a rare but severe complication that may occur during transcatheter aortic valve implantation (TAVI). Few patients with type A dissection are treated surgically because of the high rate of postoperative mortality and neurological complications in this high-risk population; thoracic endovascular aortic repair is rare too, and technically challenging because of the anatomical variations of spiral type A aortic dissection. Sometimes a watchful waiting strategy could be the best solution. We report the case of an acute, extended aortic type A dissection occurred during a TAVI procedure, probably due to the rupture of the dedicated sheath, and conservatively managed.

Dissezione aortica acuta durante tentativo inefficace di impianto transcatetere di protesi aortica totalmente riposizionabile e recuperabile

Dachille, Annamaria;Iacovelli, Fortunato;Giardinelli, Francesco;De Cillis, Emanuela;Ciccone, Marco Matteo;Favale, Stefano;Bortone, Alessandro Santo
2017-01-01

Abstract

Aortic injury is a rare but severe complication that may occur during transcatheter aortic valve implantation (TAVI). Few patients with type A dissection are treated surgically because of the high rate of postoperative mortality and neurological complications in this high-risk population; thoracic endovascular aortic repair is rare too, and technically challenging because of the anatomical variations of spiral type A aortic dissection. Sometimes a watchful waiting strategy could be the best solution. We report the case of an acute, extended aortic type A dissection occurred during a TAVI procedure, probably due to the rupture of the dedicated sheath, and conservatively managed.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11586/230735
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