Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR)
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 echocardiog...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002375 |
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| author | Vy C. Dang, BS Paul Haddad, MD Ross G. McFall, MD Jennifer Klopfenstein, MD Michael J. Reardon, MD Maham Rahimi, MD, PhD |
| author_facet | Vy C. Dang, BS Paul Haddad, MD Ross G. McFall, MD Jennifer Klopfenstein, MD Michael J. Reardon, MD Maham Rahimi, MD, PhD |
| author_sort | Vy C. Dang, BS |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e03b588859ea4417ad8206d4a49ef7ad |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-e03b588859ea4417ad8206d4a49ef7ad2025-01-20T04:17:40ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101653Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR)Vy C. Dang, BS0Paul Haddad, MD1Ross G. McFall, MD2Jennifer Klopfenstein, MD3Michael J. Reardon, MD4Maham Rahimi, MD, PhD5Texas A&M University College of Medicine, Bryan, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TXDepartment of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX; Correspondence: Maham Rahimi, MD, PhD, Department of Cardiovascular Surgery, 6550 Fannin St, Ste #1401, Houston, TX 77030An 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.http://www.sciencedirect.com/science/article/pii/S2468428724002375Thoracic endovascular aortic repair (TEVAR)Aortic stent graftAortic dissectionType A aortic dissectionTranscatheter aortic valve replacement (TAVR) |
| spellingShingle | Vy C. Dang, BS Paul Haddad, MD Ross G. McFall, MD Jennifer Klopfenstein, MD Michael J. Reardon, MD Maham Rahimi, MD, PhD Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR) Journal of Vascular Surgery Cases and Innovative Techniques Thoracic endovascular aortic repair (TEVAR) Aortic stent graft Aortic dissection Type A aortic dissection Transcatheter aortic valve replacement (TAVR) |
| title | Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR) |
| title_full | Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR) |
| title_fullStr | Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR) |
| title_full_unstemmed | Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR) |
| title_short | Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR) |
| title_sort | thoracic endovascular aortic repair tevar for an acute type a aortic dissection following transcatheter aortic valve replacement tavr |
| topic | Thoracic endovascular aortic repair (TEVAR) Aortic stent graft Aortic dissection Type A aortic dissection Transcatheter aortic valve replacement (TAVR) |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002375 |
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