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

Ann Thorac Surg. 2015 Oct;100(4):1444-6. doi: 10.1016/j.athoracsur.2014.11.077.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Aneurysm, Thoracic / classification
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / classification
  • Aortic Dissection / etiology
  • Aortic Dissection / surgery*
  • Aortic Valve Stenosis / surgery
  • Endovascular Procedures*
  • Female
  • Heart Valve Prosthesis
  • Humans
  • Prosthesis Design
  • Stents
  • Transcatheter Aortic Valve Replacement / adverse effects