Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR)

被引：0
|
作者：
Dang, Vy C. [1 ]
Haddad, Paul [2 ]
Mcfall, Ross G. [2 ]
Klopfenstein, Jennifer [2 ]
Reardon, Michael J. [2 ]
Rahimi, Maham [2 ]
机构：
[1] Texas A&M Univ, Coll Med, Bryan, TX USA
[2] Houston Methodist Hosp, Dept Cardiovasc Surg, Houston, TX USA
来源：
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2025年 / 11卷 / 01期
关键词：
Thoracic endovascular aortic repair (TEVAR); Aortic stent graft; Aortic dissection; Type A aortic dissection; Transcatheter aortic valve replacement (TAVR);
D O I：
10.1016/j.jvscit.2024.101653
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
An 86-year-old male with multiple medical comorbidities was referred for an elective transcatheter aortic valve replacement (TAVR) for severe symptomatic aortic stenosis with an ejection fraction of 35%. A self-expanding valve was deployed successfully, but intraoperative transesophageal echocardiography (TEE) confirmed an acute type A aortic dissection (ATAAD), necessitating immediate intervention. Multiple intraoperative imaging modalities were utilized for deployment of a conformable GORE TAG (cTAG) stent graft for thoracic endovascular aortic repair (TEVAR). This case demonstrates TEVAR as an effective, minimally invasive option for immediate repair of ATAAD as a complication of TAVR in a high-risk surgical patient. (J Vasc Surg Cases Innov Tech 2025;11:101653.)
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页数：4
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