First case of a left atrial dissection after transcatheter aortic valve replacement

M Rizwan Sardar; Georges I Kaddissi; Sajjad A Sabir; Simon K Topalian

doi:10.1016/j.carrev.2016.03.010

First case of a left atrial dissection after transcatheter aortic valve replacement

Cardiovasc Revasc Med. 2016 Jun;17(4):279-81. doi: 10.1016/j.carrev.2016.03.010. Epub 2016 Apr 7.

Authors

M Rizwan Sardar¹, Georges I Kaddissi², Sajjad A Sabir², Simon K Topalian²

Affiliations

¹ Department of Cardiology, Cooper University Hospital, Camden, New Jersey; Department of Interventional Cardiology and Structural heart disease, Rhode Island Hospital, Warren Alpert School of Medicine of Brown University. Electronic address: [email protected].
² Department of Cardiology, Cooper University Hospital, Camden, New Jersey.

PMID: 27067863
DOI: 10.1016/j.carrev.2016.03.010

Abstract

The left atrial dissection is a very infrequently encountered complication after valve replacement and never seen after Transcatheter aortic valve replacement (TAVR). We present an 84-year-old female, who underwent successful transapical TAVR and consequently developed contained left atrial dissection seen on transesophageal echocardiogram. The patient remained stable throughout the procedure and was monitored in critical care unit with conservative management. Although there is low associated intraop mortality, prompt recognition is paramount with follow-up serial imaging.

Keywords: Left atrial dissection; TRANSESOPHAGEAL echocardiogram; Transcatheter aortic valve replacement.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aged, 80 and over
Aneurysm, False / diagnostic imaging
Aneurysm, False / etiology*
Aortic Dissection / diagnostic imaging
Aortic Dissection / etiology*
Aortic Valve Stenosis / diagnostic imaging
Aortic Valve Stenosis / physiopathology
Aortic Valve Stenosis / therapy*
Aortic Valve* / diagnostic imaging
Aortic Valve* / physiopathology
Cardiac Catheterization / adverse effects*
Cardiac Catheterization / instrumentation
Cardiac Catheterization / methods
Echocardiography, Doppler, Color
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Female
Heart Aneurysm / diagnostic imaging
Heart Aneurysm / etiology*
Heart Atria / diagnostic imaging
Heart Atria / injuries
Heart Injuries / diagnostic imaging
Heart Injuries / etiology*
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / adverse effects*
Heart Valve Prosthesis Implantation / instrumentation
Heart Valve Prosthesis Implantation / methods
Humans
Tomography, X-Ray Computed
Treatment Outcome