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Spontaneous thrombosis of a transcatheter aortic valve replacement-induced aortic root pseudoaneurysm

Abstract

Aortic annulus rupture or aortic root perforation is a rare complication of transcatheter aortic valve replacement (TAVR), requiring emergent cardiac surgery and carrying a high intraoperative mortality. Few cases can be managed conservatively, provided a strict clinical follow-up. This study describes the case of a 78-year-old patient with a degenerated bicuspid aortic valve stenosis who presented with a late aortic root perforation following TAVR, which was successfully managed applying a "watchful waiting" approach. Cardiac computed tomography imaging played a pivotal role in the diagnosis and subsequent decision on treatment and clinical follow-up.

Original languageEnglish
JournalCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
Volume97
Issue number5
Pages (from-to)E736-E738
ISSN1522-1946
DOIs
Publication statusPublished - 1 Apr 2021

Keywords

  • ICT-imaging
  • aortic valve disease/percutaneous intervention
  • electron beam CT/multidetector CT
  • transcatheter valve implantation
  • multidetector CT
  • percutaneous intervention
  • aortic valve disease
  • electron beam CT

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