Endovascular Repair of an Ascending Aorta Dissection After Self-expanding TAVR by Suprasternal Approach

Kyle W Eudailey; Ali J Ebrahimi; Sasha Still; Shane P Prejean; Gregory Von Mering; Adam W Beck; Mustafa I Ahmed

doi:10.1016/j.athoracsur.2022.03.003

Endovascular Repair of an Ascending Aorta Dissection After Self-expanding TAVR by Suprasternal Approach

Ann Thorac Surg. 2023 Feb;115(2):e41-e44. doi: 10.1016/j.athoracsur.2022.03.003. Epub 2022 Mar 17.

Authors

Kyle W Eudailey¹, Ali J Ebrahimi², Sasha Still³, Shane P Prejean⁴, Gregory Von Mering⁴, Adam W Beck⁵, Mustafa I Ahmed⁴

Affiliations

¹ Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: [email protected].
² Department of Cardiology, Northside Hospital/Tampa Bay Heart Institute, St Petersburg, Florida; Division of Cardiology, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
³ Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
⁴ Division of Cardiology, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
⁵ Division of Vascular Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

PMID: 35305991
DOI: 10.1016/j.athoracsur.2022.03.003

Abstract

Management of rare ascending aortic complications after transcatheter aortic valve replacement (TAVR) remains a poorly defined area of knowledge. Furthermore, because most patients undergoing TAVR are at intermediate to high surgical risk, the treatment of such complications often requires endovascular approaches. Herein, we present a novel technique of endovascular ascending aorta stent graft delivery from the innominate artery for the treatment of a type A aortic dissection after self-expandable TAVR implantation, specifically addressing the landing of the aortic stent within the crown of the TAVR valve.

Publication types

Case Reports

MeSH terms

Aorta / surgery
Aortic Valve / surgery
Aortic Valve Stenosis* / etiology
Aortic Valve Stenosis* / surgery
Dissection, Ascending Aorta*
Endovascular Procedures* / adverse effects
Humans
Risk Factors
Stents
Transcatheter Aortic Valve Replacement* / adverse effects
Transcatheter Aortic Valve Replacement* / methods
Treatment Outcome