Affordable Access

deepdyve-link
Publisher Website

Transcatheter aortic valve implantation for recurrent Valsalva sinus re-dissection and severe aortic regurgitation shortly after surgery for type-A aortic dissection.

Authors
  • Caporali, Elena1
  • Pedrazzini, Giovanni2
  • Demertzis, Stefanos1
  • Ferrari, Enrico1
  • 1 Cardiac Surgery, Cardiocentro Ticino, Lugano, Switzerland. , (Switzerland)
  • 2 Cardiology Unit, Cardiocentro Ticino, Lugano, Switzerland. , (Switzerland)
Type
Published Article
Journal
Interactive Cardiovascular and Thoracic Surgery
Publisher
Oxford University Press
Publication Date
Nov 01, 2017
Volume
25
Issue
5
Pages
839–841
Identifiers
DOI: 10.1093/icvts/ivx145
PMID: 28535198
Source
Medline
Keywords
License
Unknown

Abstract

Delayed aortic regurgitation following Valsalva sinus re-dissection is a well-known complication that can occur at any time after surgery for type-A aortic dissection without root replacement. We describe a case of acute type-A dissection in an 81-year-old lady successfully treated with aortic valve resuspension and ascending aorta replacement with a 28-mm vascular graft. A month later, the patient was readmitted for worsening heart failure and a transthoracic echocardiogram showed severe aortic regurgitation secondary to non-coronary Valsalva sinus re-dissection and non-coronary aortic valve leaflet prolapse also confirmed at computed tomography scan. The patient successfully underwent a transfemoral transcatheter aortic valve implantation with a 29-mm CoreValve Evolut R and concomitant planned extracorporeal membrane oxygenation support.

Report this publication

Statistics

Seen <100 times