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Delayed aortic regurgitation after TEVAR procedure: a case report

BACKGROUND: Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a procedure...

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Detalles Bibliográficos
Autores principales: Park, Soo Jin, Lee, Seungwook, Son, Jeong A, Hyun, Seungji, Kim, Do Jung, Lim, Sang Hyun, Hong, You Sun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789620/
https://www.ncbi.nlm.nih.gov/pubmed/36564804
http://dx.doi.org/10.1186/s13019-022-02083-3
Descripción
Sumario:BACKGROUND: Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a procedure that places a stent-graft on the lesion of thoracic aorta through a minimally invasive approach. CASE PRESENTATION: Here we report that a catheter-induced aortic valve injury associated with TEVAR can cause delayed AR, exemplified by the case of a patient who developed acute AR 42 months after TEVAR. For this, aortic valve replacement was performed and the patient was discharged without complications. CONCLUSION: Our results demonstrate that when a catheter-related procedure is performed around the aortic valve, slight injury of the valve can cause aortic insufficiency even 3 years after surgery. Consequently, when performing a catheter-related procedure around the aortic valve, special attention is always required. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-022-02083-3.