Endovascular Repair for Type A Aortic Dissection After Transcatheter Aortic Valve Replacement With a Medtronic CoreValve

Transcatheter aortic valve replacement is being used with increasing frequency in patients with severe aortic stenosis who are otherwise deemed to be at high surgical risk. Aortic dissection is a rare complication of transcatheter aortic valve replacement and poses a unique management dilemma. We de...

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Veröffentlicht in:	The Annals of thoracic surgery 2015-10, Vol.100 (4), p.1444-1446
Hauptverfasser:	Berfield, Kathleen K.S., MD, Sweet, Matthew P., MD, McCabe, James M., MD, Reisman, Mark, MD, Mackensen, G. Burkhard, MD, PhD, Mokadam, Nahush A., MD, Dean, Larry S., MD, Smith, Jason W., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged, 80 and over Aneurysm, Dissecting - classification Aneurysm, Dissecting - etiology Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - classification Aortic Aneurysm, Thoracic - etiology Aortic Aneurysm, Thoracic - surgery Aortic Valve Stenosis - surgery Cardiothoracic Surgery Endovascular Procedures Female Heart Valve Prosthesis Humans Prosthesis Design Stents Surgery Transcatheter Aortic Valve Replacement - adverse effects
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Zusammenfassung:	Transcatheter aortic valve replacement is being used with increasing frequency in patients with severe aortic stenosis who are otherwise deemed to be at high surgical risk. Aortic dissection is a rare complication of transcatheter aortic valve replacement and poses a unique management dilemma. We describe the treatment of an acute Stanford type A aortic dissection after transcatheter aortic valve replacement with a modified thoracic endovascular stent graft in a 95-year-old woman.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2014.11.077