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Delayed aortic dissection and valve thrombosis after transcatheter aortic valve implantation
Author(s) -
Jacobzon Ehud,
Wolak Arik,
Fink Danny,
Silberman Shuli
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27994
Subject(s) - medicine , aortic dissection , thrombosis , prosthesis , aortic valve , cardiology , surgery , dissection (medical) , aorta
We report a case of a 78‐year‐old female who presented with type A aortic dissection 22 months following transcatheter aortic valve implantation (TAVI). In addition, preoperative echocardiogram showed high gradients across the aortic prosthesis which was found to be thrombosed. At surgery, the intimal tear appeared to be non‐acute and anatomically related to the rim of the valve cage. The thrombosed valve was not replaced and the patient received anticoagulation therapy following surgery with significant improvement in valve gradients.