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Cardiovascular Intervention and Therapeutics

Published in:

01-04-2016 | Case Report

Descending aortic dissection injured by tip of the sheath during transcatheter aortic valve implantation

Authors: Atsushi Nagasawa, Shinichi Shirai, Michiya Hanyu, Yoshio Arai, Norihiko Kamioka, Masaomi Hayashi

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2016

Abstract

An 86-year-old woman was referred for transcatheter aortic valve implantation (TAVI) because of recurrent severe aortic stenosis after balloon aortic valvuloplasty in May 2014. We planned to implant a 23-mm Sapien XT valve by transfemoral approach. During procedure, aortic dissection was detected by transesophageal echocardiography (TEE). The dissection limited to the descending aorta and did not include the ascending aorta. Therefore, our team decided to implant the 23-mm Sapien valve as planned. After the procedure, the dissection was treated conservatively without surgical repair. Three weeks later, she was discharged without any complications.

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Title: Descending aortic dissection injured by tip of the sheath during transcatheter aortic valve implantation
Authors: Atsushi Nagasawa
Shinichi Shirai
Michiya Hanyu
Yoshio Arai
Norihiko Kamioka
Masaomi Hayashi
Publication date: 01-04-2016
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 2/2016
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-015-0324-6

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