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

Vy C. Dang, Paul Haddad, Ross G. McFall, Jennifer Klopfenstein, Michael J. Reardon, Maham Rahimi

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article number101653
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume11
Issue number1
DOIs
StatePublished - Feb 2025

Keywords

  • Aortic dissection
  • Aortic stent graft
  • Thoracic endovascular aortic repair (TEVAR)
  • Transcatheter aortic valve replacement (TAVR)
  • Type A aortic dissection

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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