Endovascular management of an aortic rupture following transcatheter aortic valve replacement

Omran, Nedal; Kvašňák, Martin; Derner, Milos; Červinka, Pavel

doi:10.1111/jocs.13813

Cited by 1 publication

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“…Several case reports on IAD following TAVI have been published in which the dissection occurred either during the procedure [ 15 , 16 ] or several days or even years later [ 17 – 20 ]. In those delayed cases, there was either endocarditis of the prosthetic valve or the dissection was located at the aortic annulus, the aortic root, or the valve cage area [ 17 – 19 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Rapid development of an iatrogenic aortic dissection following transcatheter aortic valve implantation

Prangenberg

Doberentz

Madea

2020

Forensic Sci Med Pathol

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Transcatheter aortic valve implantation (TAVI) represents a catheter-based and minimally invasive replacement of the aortic valve. TAVI is considered to be a relatively safe procedure and has evolved to a standard procedure in inoperable and high-risk patients with aortic stenosis. We present a case of an octogenarian who died in hospital less than a day after an initially satisfactory TAVI. Cardiologists suspected a combination of cardiogenic and hemorrhagic shock as the cause of death. Autopsy showed rupture of an extensive aortic dissection, which had developed within 24 h after the procedure. The cause of death was eventually defined as internal bleeding due to a rapid two-stage vascular process. The manner of death was considered accidental because an iatrogenic vessel injury beyond the aortic arch was causative for the death. This unusual case highlights the potential for rare, but fatal, complications within the scope of cardiac catheterizations, such as TAVI. Additionally, our findings suggest that these complications need to be recognized in the diagnostic process and management of post-interventional complications.

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Section: Discussionmentioning

confidence: 99%

Rapid development of an iatrogenic aortic dissection following transcatheter aortic valve implantation

Prangenberg

Doberentz

Madea

2020

Forensic Sci Med Pathol

View full text Add to dashboard Cite

show abstract

Endovascular management of an aortic rupture following transcatheter aortic valve replacement

Abstract: We report a case of aortic rupture during transcatheter aortic valve replacement (TAVR) managed successfully by urgent stent-graft implantation.

Cited by 1 publication

References 11 publications

Rapid development of an iatrogenic aortic dissection following transcatheter aortic valve implantation

Rapid development of an iatrogenic aortic dissection following transcatheter aortic valve implantation

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