Iatrogenic aortic dissection after minimally invasive aortic valve replacement: a case report

J Cardiothorac Surg. 2016 Aug 24;11(1):136. doi: 10.1186/s13019-016-0531-y.

Abstract

Background: As minimally invasive cardiac and vascular procedures are on the rise, the incidence of iatrogenic acute aortic dissection (IAAD) will increase. Cardiovascular professionals should be aware about the risk factors, means of prevention and best management options for IAAD in the perioperative setting.

Case presentation: We present the successful clinical management of a complicated case of IAAD after minimally invasive aortic valve replacement.

Conclusion: High index of suspicion is required for prompt diagnosis of IAAD; collaboration of the whole perioperative team is imperative for management of this catastrophe.

Keywords: AVR; Case Report; Iatrogenic aortic dissection; PCI; TAVR; TEVAR.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aortic Aneurysm / diagnostic imaging
  • Aortic Aneurysm / etiology*
  • Aortic Aneurysm / surgery
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / etiology*
  • Aortic Dissection / surgery
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / surgery*
  • Cardiac Catheterization / adverse effects*
  • Cardiopulmonary Bypass
  • Extracorporeal Membrane Oxygenation
  • Female
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Iatrogenic Disease