Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch

Oscar Millan-Iturbe; Fadi J. Sawaya; Gintautas Bieliauskas; Danny H.F. Chow; Ole De Backer; Lars Søndergaard

doi:10.1016/j.cjca.2017.03.018

Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch

Oscar Millan-Iturbe^*, Fadi J. Sawaya, Gintautas Bieliauskas, Danny H.F. Chow, Ole De Backer, Lars Søndergaard

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin

1 Citationer (Scopus)

Abstract

Transcatheter aortic valve replacement (TAVR) has evolved from a novel technology to an established therapy for high/intermediate-risk patients with severe symptomatic aortic stenosis (AS). Although TAVR is used to treat bicuspid severe AS, the large randomized trials typically excluded bicuspid AS because of its unique anatomic features. This case report describes an acute aortic perforation during delivery of a transcatheter heart valve to treat a severe bicuspid AS with a “gothic aortic arch”; more careful evaluation of the preprocedural multislice computed tomographic scan would have unveiled a sharply angulated aortic arch. This life-threatening complication was successfully treated by thoracic endovascular aortic repair.

Originalsprog	Engelsk
Tidsskrift	Canadian Journal of Cardiology
Vol/bind	33
Udgave nummer	9
Sider (fra-til)	1206.e1-1206.e3
ISSN	0828-282X
DOI	https://doi.org/10.1016/j.cjca.2017.03.018
Status	Udgivet - sep. 2017

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10.1016/j.cjca.2017.03.018

Citationsformater

@article{c4931a60ccba4cf1b76f0cfa0e007dfc,

title = "Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch",

abstract = "Transcatheter aortic valve replacement (TAVR) has evolved from a novel technology to an established therapy for high/intermediate-risk patients with severe symptomatic aortic stenosis (AS). Although TAVR is used to treat bicuspid severe AS, the large randomized trials typically excluded bicuspid AS because of its unique anatomic features. This case report describes an acute aortic perforation during delivery of a transcatheter heart valve to treat a severe bicuspid AS with a “gothic aortic arch”; more careful evaluation of the preprocedural multislice computed tomographic scan would have unveiled a sharply angulated aortic arch. This life-threatening complication was successfully treated by thoracic endovascular aortic repair.",

author = "Oscar Millan-Iturbe and Sawaya, {Fadi J.} and Gintautas Bieliauskas and Chow, {Danny H.F.} and {De Backer}, Ole and Lars S{\o}ndergaard",

year = "2017",

month = sep,

doi = "10.1016/j.cjca.2017.03.018",

language = "English",

volume = "33",

pages = "1206.e1--1206.e3",

journal = "Canadian Journal of Cardiology",

issn = "0828-282X",

publisher = "Elsevier",

number = "9",

}

TY - JOUR

T1 - Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch

AU - Millan-Iturbe, Oscar

AU - Sawaya, Fadi J.

AU - Bieliauskas, Gintautas

AU - Chow, Danny H.F.

AU - De Backer, Ole

AU - Søndergaard, Lars

PY - 2017/9

Y1 - 2017/9

N2 - Transcatheter aortic valve replacement (TAVR) has evolved from a novel technology to an established therapy for high/intermediate-risk patients with severe symptomatic aortic stenosis (AS). Although TAVR is used to treat bicuspid severe AS, the large randomized trials typically excluded bicuspid AS because of its unique anatomic features. This case report describes an acute aortic perforation during delivery of a transcatheter heart valve to treat a severe bicuspid AS with a “gothic aortic arch”; more careful evaluation of the preprocedural multislice computed tomographic scan would have unveiled a sharply angulated aortic arch. This life-threatening complication was successfully treated by thoracic endovascular aortic repair.

AB - Transcatheter aortic valve replacement (TAVR) has evolved from a novel technology to an established therapy for high/intermediate-risk patients with severe symptomatic aortic stenosis (AS). Although TAVR is used to treat bicuspid severe AS, the large randomized trials typically excluded bicuspid AS because of its unique anatomic features. This case report describes an acute aortic perforation during delivery of a transcatheter heart valve to treat a severe bicuspid AS with a “gothic aortic arch”; more careful evaluation of the preprocedural multislice computed tomographic scan would have unveiled a sharply angulated aortic arch. This life-threatening complication was successfully treated by thoracic endovascular aortic repair.

U2 - 10.1016/j.cjca.2017.03.018

DO - 10.1016/j.cjca.2017.03.018

M3 - Journal article

C2 - 28583399

AN - SCOPUS:85020101961

SN - 0828-282X

VL - 33

SP - 1206.e1-1206.e3

JO - Canadian Journal of Cardiology

JF - Canadian Journal of Cardiology

IS - 9

ER -

Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch

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