Transcatheter Aortic Valve Replacement in Type B Aortic Dissection

Iosif Gulkarov; Akanibo Da-Wariboko; Ashwad Afzal; Arash Salemi; Berhane Worku

Transcatheter Aortic Valve Replacement in Type B Aortic Dissection

J Heart Valve Dis. 2016 Mar;25(2):153-155.

Authors

Iosif Gulkarov^{1

2}, Akanibo Da-Wariboko³, Ashwad Afzal³, Arash Salemi^{1

2}, Berhane Worku^{1

2}

Affiliations

¹ Department of Cardiothoracic Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York USA.
² Department of Cardiothoracic Surgery, New York Methodist Hospital, Brooklyn, New York, USA.
³ Department of Internal Medicine, New York Methodist Hospital, Brooklyn, New York, USA.

PMID: 27989058

Abstract

Transcatheter aortic valve replacement (TAVR) has become an acceptable alternative to surgical aortic valve replacement in high-risk and inoperable patients. Several technical and anatomical considerations can increase the complexity and risk of the procedure, and therefore are considered as contraindications to TAVR. Patients with significant aortic disease such as aortic dissection are not usually considered for TAVR due to risk of aortic rupture or retrograde extension of the dissection. Herein is presented a report of the first successful TAVR in a patient with extensive type B dissection.

Publication types

Case Reports

MeSH terms

Aged
Aortic Aneurysm / complications*
Aortic Aneurysm / diagnostic imaging
Aortic Aneurysm / physiopathology
Aortic Dissection / complications*
Aortic Dissection / diagnostic imaging
Aortic Dissection / physiopathology
Aortic Valve / diagnostic imaging
Aortic Valve / physiopathology
Aortic Valve / surgery*
Aortic Valve Stenosis / complications
Aortic Valve Stenosis / diagnostic imaging
Aortic Valve Stenosis / physiopathology
Aortic Valve Stenosis / surgery*
Aortography / methods
Computed Tomography Angiography
Hemodynamics
Humans
Male
Multidetector Computed Tomography
Transcatheter Aortic Valve Replacement*
Treatment Outcome