Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR)

Vy C. Dang BS , Paul Haddad MD , Ross G. McFall MD , Jennifer Klopfenstein MD , Michael J. Reardon MD , Maham Rahimi MD, PhD
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Abstract

An 86-year-old male with multiple medical comorbidities was referred for an elective transcatheter aortic valve replacement (TAVR) for severe symptomatic aortic stenosis with an ejection fraction of 35%. A self-expanding valve was deployed successfully, but intraoperative transesophageal echocardiography (TEE) confirmed an acute type A aortic dissection (ATAAD), necessitating immediate intervention. Multiple intraoperative imaging modalities were utilized for deployment of a conformable GORE TAG (cTAG) stent graft for thoracic endovascular aortic repair (TEVAR). This case demonstrates TEVAR as an effective, minimally invasive option for immediate repair of ATAAD as a complication of TAVR in a high-risk surgical patient.
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胸腔内血管主动脉修复术(TEVAR)治疗经导管主动脉瓣置换术(TAVR)后的急性A型主动脉夹层
一位86岁的男性患者患有多种并发症,因射血分数为35%的严重症状性主动脉瓣狭窄而转诊接受经导管主动脉瓣置换术(TAVR)。虽然成功置入了自扩张瓣膜,但术中经食道超声心动图(TEE)确诊为急性A型主动脉夹层(ATAAD),必须立即进行干预。利用多种术中成像模式部署了可适形 GORE TAG(cTAG)支架移植物,用于胸腔内主动脉修复术(TEVAR)。该病例表明,TEVAR 是一种有效的微创选择,可立即修复高风险手术患者因 TAVR 并发症引起的 ATAAD。
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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
219
审稿时长
29 weeks
期刊介绍: Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
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