Descending aortic dissection injured by tip of the sheath during transcatheter aortic valve implantation

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• 作者：Atsushi Nagasawa ; Shinichi Shirai…
• 关键词：Transcatheter aortic valve implantation ; Descending aortic dissection ; Vascular complication ; Transfemoral approach
• 刊名：Cardiovascular Intervention and Therapeutics
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：31
• 期：2
• 页码：122-127
• 全文大小：1,929 KB
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• 作者单位：Atsushi Nagasawa (1)
  Shinichi Shirai (2)
  Michiya Hanyu (3)
  Yoshio Arai (1)
  Norihiko Kamioka (2)
  Masaomi Hayashi (2)
  
  1. Division of Cardiovascular Surgery, Cardiovascular Surgery Department, Kokura Memorial Hospital, Kitakyushu, 802-8555, Japan
  2. Division of Cardiology, Interventional Cardiology Department, Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan
  3. Division of Cardiovascular Surgery and TAVI Program Division of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyushu, Japan
  
• 刊物主题：Cardiology; Interventional Radiology;
• 出版者：Springer Japan
• ISSN：1868-4297

文摘

An 86-year-old woman was referred for transcatheter aortic valve implantation (TAVI) because of recurrent severe aortic stenosis after balloon aortic valvuloplasty in May 2014. We planned to implant a 23-mm Sapien XT valve by transfemoral approach. During procedure, aortic dissection was detected by transesophageal echocardiography (TEE). The dissection limited to the descending aorta and did not include the ascending aorta. Therefore, our team decided to implant the 23-mm Sapien valve as planned. After the procedure, the dissection was treated conservatively without surgical repair. Three weeks later, she was discharged without any complications.