Rescue Percutaneous Stenting for Cerebral Malperfusion With Acute Aortic Dissection Following TAVR

Ryo Yamaguchi; Masanori Yamamoto; Tetsuro Shimura; Yuya Adachi; Mitsuru Sago

doi:10.1016/j.jaccas.2021.08.009

Rescue Percutaneous Stenting for Cerebral Malperfusion With Acute Aortic Dissection Following TAVR

JACC Case Rep. 2021 Nov 3;3(15):1700-1704. doi: 10.1016/j.jaccas.2021.08.009.

Authors

Ryo Yamaguchi¹, Masanori Yamamoto^{1

2

3}, Tetsuro Shimura², Yuya Adachi¹, Mitsuru Sago¹

Affiliations

¹ Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan.
² Department of Cardiology, Gifu Heart Center, Gifu, Japan.
³ Department of Cardiology, Nagoya Heart Center, Nagoya, Japan.

Abstract

Malperfusion syndrome is a complication of acute aortic dissection (AAD) involving a branch vessel. We report a case of bailout stenting for critical cerebral malperfusion in a patient with AAD after transcatheter aortic valve replacement. Rescue percutaneous procedure for this complication may be a treatment option in patients with high surgical risk. (Level of Difficulty: Advanced.).

Keywords: AAD, acute aortic dissection; CT, computed tomography; FL, false lumen; TAVR, transcatheter aortic valve replacement; THV, transcatheter heart valve; acute aortic dissection; arch vessel stenting; cerebral malperfusion; transcatheter aortic valve replacement.

Publication types

Case Reports