Thoracic Aorta Perforation Treated Conservatively After TAVR in a Patient With Extremely Tortuous Aorta

Lisa Manevich; Uri Landes; Yuri Gluzman; Michael Welt; Ronen Rubinshtein; Haim D Danenberg

doi:10.1016/j.jaccas.2022.101691

Thoracic Aorta Perforation Treated Conservatively After TAVR in a Patient With Extremely Tortuous Aorta

JACC Case Rep. 2022 Nov 29:5:101691. doi: 10.1016/j.jaccas.2022.101691. eCollection 2023 Jan 4.

Authors

Lisa Manevich¹, Uri Landes¹, Yuri Gluzman¹, Michael Welt¹, Ronen Rubinshtein¹, Haim D Danenberg¹

Affiliation

¹ Department of Cardiology, E. Wolfson Medical Center, Holon and Tel-Aviv University, Tel-Aviv, Israel.

Abstract

Aortic perforation is a rare complication of transcatheter aortic valve replacement associated with grim outcomes. Tortuous and calcified aortas increase the risk of aortic trauma and perforation. We report a case in which, despite massive thoracic bleeding, avoidance of thoracic aortic surgery resulted in clinical recovery. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; TAVI; TAVR; TAVR, transcatheter aortic valve replacement; aortic perforation; aortic valve stenosis.

Publication types

Case Reports