Abdominal Stent-Graft Treatment of Ascending Aortic Pseudoaneurysm Following Transcatheter Aortic Valve Implantation

Dimitrij Kuhelj; Črt Langel; Matjaž Bunc; Juš Kšela

doi:10.3390/medicina59010016

Abdominal Stent-Graft Treatment of Ascending Aortic Pseudoaneurysm Following Transcatheter Aortic Valve Implantation

Medicina (Kaunas). 2022 Dec 21;59(1):16. doi: 10.3390/medicina59010016.

Authors

Dimitrij Kuhelj^{1

2}, Črt Langel^{1

2}, Matjaž Bunc^{2

3}, Juš Kšela^{2

4}

Affiliations

¹ Institute of Radiology, University Medical Center Ljubljana, Zaloška 7, 1000 Ljubljana, Slovenia.
² Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia.
³ Department of Cardiology, University Medical Center Ljubljana, Zaloška 7, 1000 Ljubljana, Slovenia.
⁴ Department of Cardiovascular Surgery, University Medical Center Ljubljana, Zaloška 7, 1000 Ljubljana, Slovenia.

Abstract

An ascending aortic pseudoaneurysm is a potentially lethal complication in aortic procedures. We present a hybrid approach using surgical innominate artery access and the endovascular insertion of an abdominal stent-graft extension to successfully treat a zone 0 ascending aortic pseudoaneurysm in a patient with a prior valve-in-valve transcatheter aortic valve implantation.

Keywords: TAVI; TEVAR; ascending aorta; stent graft; valve-in-valve.

Publication types

Case Reports

MeSH terms

Aneurysm, False* / etiology
Aneurysm, False* / surgery
Aortic Valve
Blood Vessel Prosthesis
Endovascular Procedures* / methods
Humans
Stents / adverse effects
Transcatheter Aortic Valve Replacement* / adverse effects
Treatment Outcome

Grants and funding

This research received no external funding.