First case of a left atrial dissection after transcatheter aortic valve replacement

Sardar, Muhammad; Kaddissi, Georges; Sabir, Sajjad; Topalian, Simon

doi:10.1016/j.carrev.2016.03.010

“…78 Aortic dissection. Aortic dissection after TAVR is rare, occurring in 0.6-1.9% 79,80,81 and can involve any segment of the aorta. When TAVR is performed with transesophageal echocardiographic (TEE) guidance, aortic dissection may be incidentally detected.…”

Section: Aorticmentioning

confidence: 99%

Vascular complications associated with transcatheter aortic valve replacement

Sardar

¹

,

Goldsweig

²

,

Abbott

³

et al. 2017

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Transcatheter aortic valve replacement (TAVR) is now an accepted pathway for aortic valve replacement for patients who are at prohibitive, severe and intermediate risk for traditional aortic valve surgery. However, with this rising uptrend and adaptation of this new technology, vascular complications and their management remain an Achilles heel for percutaneous aortic valve replacement. The vascular complications are an independent predictor of mortality for patients undergoing TAVR. Early recognition of these complications and appropriate management is paramount. In this article, we review the most commonly encountered vascular complications associated with currently approved TAVR devices and their optimal percutaneous management techniques.

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“…[ 1 ] It has also been reported after percutaneous procedures such as coronary angiography, transcatheter aortic valve replacement, balloon mitral valvotomy, and radiofrequency ablation. [ 2 3 4 5 ]…”

Section: Discussionmentioning

confidence: 99%

A case of left atrial dissection after mitral valve replacement

Arora

¹

,

Mishra

²

,

Mehta

³

et al. 2018

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Left atrial dissection (LatD) is a rare complication of cardiac surgery due to creation of a false chamber through a tear in the mitral valve annulus that extends into the left atrium wall. It is primarily associated with mitral valve surgery although other etiologies have also been defined. Perioperative transesophageal echocardiography (TEE) is a key to the diagnosis. This is a case report of management of LatD after mitral valve replacement.

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“…[1] It has also been reported after percutaneous procedures such as coronary angiography, transcatheter aortic valve replacement, balloon mitral valvotomy, and radiofrequency ablation. [2][3][4][5] Primarily, it occurs due to aggressive debridement of the posterior annulus or subvalvular apparatus, oversizing of the prosthesis, or inappropriate suturing or traction applied on the annulus. Moreover, inadequate reversal of anticoagulation may also cause LatD.…”

Section: Discussionmentioning

confidence: 99%

A case of left atrial dissection after mitral valve replacement

Arora

¹

,

Mishra

²

,

Mehta

³

et al. 2017

Journal of Cardiothoracic and Vascular Anesthesia

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Left atrial dissection (LatD) is a rare complication of cardiac surgery due to creation of a false chamber through a tear in the mitral valve annulus that extends into the left atrium wall. It is primarily associated with mitral valve surgery although other etiologies have also been defined. Perioperative transesophageal echocardiography (TEE) is a key to the diagnosis. This is a case report of management of LatD after mitral valve replacement.

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First case of a left atrial dissection after transcatheter aortic valve replacement

Cited by 5 publications

References 5 publications

Vascular complications associated with transcatheter aortic valve replacement

Vascular complications associated with transcatheter aortic valve replacement

A case of left atrial dissection after mitral valve replacement

A case of left atrial dissection after mitral valve replacement

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