Delayed aortic dissection and valve thrombosis after transcatheter aortic valve implantation

We report a case of a 78‐year‐old female who presented with type A aortic dissection 22 months following transcatheter aortic valve implantation (TAVI). In addition, preoperative echocardiogram showed high gradients across the aortic prosthesis which was found to be thrombosed. At surgery, the intim...

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Bibliographic Details
Published inCatheterization and cardiovascular interventions Vol. 93; no. 7; pp. E391 - E393
Main Authors Jacobzon, Ehud, Wolak, Arik, Fink, Danny, Silberman, Shuli
Format Journal Article
LanguageEnglish
Published Hoboken, USA John Wiley & Sons, Inc 01.06.2019
Wiley Subscription Services, Inc
Subjects
Aneurysms
Anticoagulants
anticoagulants/antithrombins
Aortic dissection
Aortic valve
aortic valve disease
Case reports
Dissection
Echocardiography
Implantation
percutaneous intervention
structural heart disease intervention
Surgery
Thromboembolism
Thrombosis
transcatheter valve implantation
anticoagulants/antithrombins
transcatheter valve implantation
structural heart disease intervention
percutaneous intervention
aortic valve disease
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Summary:We report a case of a 78‐year‐old female who presented with type A aortic dissection 22 months following transcatheter aortic valve implantation (TAVI). In addition, preoperative echocardiogram showed high gradients across the aortic prosthesis which was found to be thrombosed. At surgery, the intimal tear appeared to be non‐acute and anatomically related to the rim of the valve cage. The thrombosed valve was not replaced and the patient received anticoagulation therapy following surgery with significant improvement in valve gradients.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.27994