Descending Aorta Rupture after Transcatheter Aortic Valve Embolization

Ann Vasc Surg . 2018 May;49:312.e1-312.e4. doi: 10.1016/j.avsg.2017.11.042. Epub 2018 Feb 15.

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)

PMID

PMID: 29455016
DOI: 10.1016/j.avsg.2017.11.042

Affiliations

¹Department of Vascular and Endovascular Surgery, Ramón y Cajal’s University Hospital, Madrid, Spain. Electronic address: africaduque@hotmail.com.

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.

Abstract

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.