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Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment?
Transcatheter aortic valve implantation (TAVI) is without any doubt a standard technique and the treatment of choice of severe aortic valve stenosis (AVS) in very high-operative risk patients. However, a number of complications may occur and has been described. Improper valve position, valve migrati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971994/ https://www.ncbi.nlm.nih.gov/pubmed/27397470 http://dx.doi.org/10.4103/0971-9784.185564 |
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author | Baikoussis, Nikolaos G. Argiriou, Michalis Kratimenos, Theodoros Karameri, Vasiliki Dedeilias, Panagiotis |
author_facet | Baikoussis, Nikolaos G. Argiriou, Michalis Kratimenos, Theodoros Karameri, Vasiliki Dedeilias, Panagiotis |
author_sort | Baikoussis, Nikolaos G. |
collection | PubMed |
description | Transcatheter aortic valve implantation (TAVI) is without any doubt a standard technique and the treatment of choice of severe aortic valve stenosis (AVS) in very high-operative risk patients. However, a number of complications may occur and has been described. Improper valve position, valve migration, paravalvular regurgitation, conduction disturbances, stroke and aortic dissection have been succeeded despite the perfection of the technique. For anyone of the complications above described, a solution may be invented. We present an interesting case of an 81-year-old woman with severe AVS treated through TAVI due to very high operative risk. This female, 12 days later presented with thoracic pain and shortness of breath and through the computed tomography of the chest performed was diagnosed a dissection of the descending aorta. She successfully underwent on thoracic endovascular aortic repair. In this report, we refer the bibliographic data and we discuss the treatment options in these cases. |
format | Online Article Text |
id | pubmed-4971994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-49719942016-08-25 Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment? Baikoussis, Nikolaos G. Argiriou, Michalis Kratimenos, Theodoros Karameri, Vasiliki Dedeilias, Panagiotis Ann Card Anaesth Case Report Transcatheter aortic valve implantation (TAVI) is without any doubt a standard technique and the treatment of choice of severe aortic valve stenosis (AVS) in very high-operative risk patients. However, a number of complications may occur and has been described. Improper valve position, valve migration, paravalvular regurgitation, conduction disturbances, stroke and aortic dissection have been succeeded despite the perfection of the technique. For anyone of the complications above described, a solution may be invented. We present an interesting case of an 81-year-old woman with severe AVS treated through TAVI due to very high operative risk. This female, 12 days later presented with thoracic pain and shortness of breath and through the computed tomography of the chest performed was diagnosed a dissection of the descending aorta. She successfully underwent on thoracic endovascular aortic repair. In this report, we refer the bibliographic data and we discuss the treatment options in these cases. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4971994/ /pubmed/27397470 http://dx.doi.org/10.4103/0971-9784.185564 Text en Copyright: © 2016 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Baikoussis, Nikolaos G. Argiriou, Michalis Kratimenos, Theodoros Karameri, Vasiliki Dedeilias, Panagiotis Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment? |
title | Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment? |
title_full | Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment? |
title_fullStr | Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment? |
title_full_unstemmed | Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment? |
title_short | Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment? |
title_sort | iatrogenic dissection of the descending aorta: conservative or endovascular treatment? |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971994/ https://www.ncbi.nlm.nih.gov/pubmed/27397470 http://dx.doi.org/10.4103/0971-9784.185564 |
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