AI Article Synopsis
- Transcatheter aortic valve implantation (TAVI) is a procedure used to treat severe aortic valve stenosis, particularly in patients who are at high risk for traditional surgery.
- An 80-year-old woman with severe stenosis and mild surgical risk opted for TAVI instead of traditional surgery, leading to the implantation of a Lotus valve via the transfemoral route.
- During the procedure, she suffered interscapular pain and was found to have a rare type B aortic dissection, which was successfully treated with a vascular endoprosthesis, highlighting the unpredictable nature of complications associated with TAVI.
Article Abstract
Transcatheter aortic valve implantation (TAVI) is a validated technique for the treatment of aortic valve stenosis in patients with high surgical risk or inoperable. We present the case of an 80-year-old woman with severe aortic valve stenosis (mean gradient 55 mmHg), mild surgical risk, who refused traditional surgery. We implanted a Lotus Sadra 25 mm (Boston Scientific, Marlborough, MA, USA) via the transfemoral route. During pull back delivery, the patient experienced interscapular pain with angiographic evidence of type B aortic dissection effectively treated by implanting a vascular endoprosthesis Valiant 30 x 150 mm (Medtronic Vascular, Santa Rosa, CA, USA). Type B aortic dissection is a rare event during TAVI. The onset of procedural complications, often unpredictable, suggests the need for more extensive knowledge of materials and techniques, in particular with respect to endovascular treatment of the aortic and iliac-femoral district.
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| http://dx.doi.org/10.1714/2683.27476 | DOI Listing |
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