Chronic aortic sub-adventitial hematoma following supra-annular TAVR

Surya Teja Chaturvedula , Ramprakash Devadoss , Tsuyoshi Kaneko
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Abstract

We describe a case of sub-adventitial hematoma of the ascending aorta at the level of the crown of supra-annular TAVR presenting 4 months post procedure. Acute aortic syndromes following TAVR portend grave prognosis and warrant emergent reconstructive surgery. However, the less known, chronic aortic complications may have an indolent presentation. Our patient underwent aortic reconstructive surgery with TAVR explant and bio-prosthetic AVR implantation and had a favorable outcome.

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环上 TAVR 术后的慢性主动脉瓣下血肿
我们描述了一例术后 4 个月出现在环上 TAVR 冠状动脉水平的升主动脉室内下血肿病例。TAVR 术后急性主动脉综合征预示着严重的预后,需要紧急进行重建手术。然而,较少为人所知的慢性主动脉并发症的表现可能并不明显。我们的患者接受了主动脉重建手术,进行了 TAVR 移植和生物假体 AVR 植入,结果良好。
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