Aortic Wall Thrombus and Stroke After Transfemoral TAVR

IF 1.9 3区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Catheterization and Cardiovascular Interventions Pub Date : 2025-03-03 DOI:10.1002/ccd.31475
Marc Bonnet, Lionel Mangin, Nathanael Frank Bayard, Sébastien Gerelli, Brahim Harbaoui
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Abstract

We present the case of a patient with significant aortic wall thrombus (AWT) who experienced a stroke after transfemoral TAVR. FLAIR MRI revealed an embolic shower. Pre- and postoperative computed tomography showed dislodgment of the AWT located in the outer curvature of the aortic arch after TAVR. This case supports the hypothesis that AWT may cause stroke by being dislodged and carried upstream toward the carotid arteries.

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经股TAVR术后主动脉壁血栓与卒中。
我们提出的情况下,患者显著主动脉壁血栓(AWT)谁经历了中风后经股TAVR。FLAIR MRI显示栓塞性阵雨。术前和术后计算机断层扫描显示TAVR后位于主动脉弓外曲率的AWT脱位。该病例支持了AWT可能因移位并向颈动脉上游转移而导致中风的假设。
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来源期刊
CiteScore
5.40
自引率
8.70%
发文量
419
审稿时长
2 months
期刊介绍: Catheterization and Cardiovascular Interventions is an international journal covering the broad field of cardiovascular diseases. Subject material includes basic and clinical information that is derived from or related to invasive and interventional coronary or peripheral vascular techniques. The journal focuses on material that will be of immediate practical value to physicians providing patient care in the clinical laboratory setting. To accomplish this, the journal publishes Preliminary Reports and Work In Progress articles that complement the traditional Original Studies, Case Reports, and Comprehensive Reviews. Perspective and insight concerning controversial subjects and evolving technologies are provided regularly through Editorial Commentaries furnished by members of the Editorial Board and other experts. Articles are subject to double-blind peer review and complete editorial evaluation prior to any decision regarding acceptability.
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