Fecha de la publicación: 15/02/2018
Autor: África Duque Santos 1, Andrés Reyes Valdivia 2, Pablo Gallo González (2), Eduardo González Ferrer (3), Julia Ocaña Guaita (2), Claudio Gandarias Zúñiga (2)
1Department of Vascular and Endovascular Surgery, Ramón y Cajal’s University Hospital, Madrid, Spain. Electronic address: firstname.lastname@example.org.
2Department of Vascular and Endovascular Surgery, Ramón y Cajal’s University Hospital, Madrid, Spain.
3Department of Cardiology, Ramón y Cajal’s University Hospital, Madrid, Spain.
Background: To report a case of rupture of the descending aorta after aortic migration during transcatheter aortic valve replacement (TAVR).
Methods: An 85-year-old man with a severe and symptomatic aortic stenosis underwent elective TAVR, which complicated with embolization into the ascending aorta. While repositioning into the descending aorta, the procedure complicated with aortic rupture.
Results: The patient required urgent thoracic intravalve stent-graft implantation (thoracic endovascular aortic repair [TEVAR]). Reintervention with other stent graft was required 2 days after initial procedure as proximal rupture was again diagnosed. Patient was discharged 50 days later because of other medical complications. He remains stable at 1 year of follow-up.
Conclusions: TEVAR is a valid and safe option in the treatment of iatrogenic acute aortic rupture due to TAVR.
Copyright © 2018 Elsevier Inc. All rights reserved.