Concomitant Endografting of a Type B Aortic Dissection During Transfemoral Aortic Valve Replacement.

Publication/Presentation Date

3-1-2017

Abstract

An 87-year-old woman with severe aortic stenosis underwent a transfemoral transcatheter aortic valve replacement (TAVR). Intraoperative transesophageal echocardiography demonstrated a well-seated valve with no paravalvular leak; however, a new acute type B aortic dissection was identified. Endografts were delivered through the TAVR sheath and deployed, effectively treating the dissection. The patient did well postoperatively, with imaging at 2 years demonstrating a well-functioning aortic valve and no migration or endoleak of the thoracic endografts. To our knowledge, this is the first report of successful concomitant thoracic endografting during TAVR for the treatment of iatrogenic aortic dissection in this setting.

Volume

103

Issue

3

First Page

223

Last Page

223

ISSN

1552-6259

Disciplines

Medicine and Health Sciences

PubMedID

28219551

Department(s)

Department of Surgery

Document Type

Article

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