Spontaneous Resolution of Extensive Iatrogenic Type A Aortic Dissection After Transcatheter Aortic Valve Replacement

Jino Park; Seung-Ah Lee; Do-Yoon Kang; Ho Jin Kim; Jung-Min Ahn; Joon Bum Kim; Duk-Woo Park; Suk Jung Choo; Seung-Jung Park; Dae-Hee Kim

doi:10.1016/j.jaccas.2021.12.009

Spontaneous Resolution of Extensive Iatrogenic Type A Aortic Dissection After Transcatheter Aortic Valve Replacement

JACC Case Rep. 2022 Apr 20;4(8):464-469. doi: 10.1016/j.jaccas.2021.12.009.

Authors

Affiliations

¹ Department of Cardiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea.
² Department of Thoracic and Cardiac Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea.

Abstract

The management of type A aortic dissection (TAAD) during transcatheter aortic valve replacement (TAVR) is challenging because TAVR is often performed in elderly patients with significant surgical risk. We present a case of extensive TAAD that developed during the TAVR procedure, which resolved spontaneously with medical treatment. (Level of Difficulty: Intermediate).

Keywords: AV, aortic valve; CT, computed tomography; EF, ejection fraction; POD, postoperative day; RCA, right coronary artery; TAAD, type A aortic dissection; TAVR, transcatheter aortic valve replacement; TEE, transesophageal echocardiography; aortic dissection; aortic valve stenosis; transcatheter aortic valve replacement.

Publication types

Case Reports