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 language | English (US) |
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Article number | 101653 |
Journal | Journal of Vascular Surgery Cases and Innovative Techniques |
Volume | 11 |
Issue number | 1 |
DOIs | |
State | Published - 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