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 for this work

Department of Clinical Medicine

1 Citation (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.

Original language	English
Journal	Canadian Journal of Cardiology
Volume	33
Issue number	9
Pages (from-to)	1206.e1-1206.e3
ISSN	0828-282X
DOIs	https://doi.org/10.1016/j.cjca.2017.03.018
Publication status	Published - Sept 2017

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Acute Aortic Arch Perforation During Transcatheter Aortic Valve Replacement in Bicuspid Aortic Stenosis and a Gothic Aortic Arch. / Millan-Iturbe, Oscar; Sawaya, Fadi J.; Bieliauskas, Gintautas et al.

In: Canadian Journal of Cardiology, Vol. 33, No. 9, 09.2017, p. 1206.e1-1206.e3.

Research output: Contribution to journal › Journal article › Research › peer-review

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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",

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AU - Sawaya, Fadi J.

AU - Bieliauskas, Gintautas

AU - Chow, Danny H.F.

AU - De Backer, Ole

AU - Søndergaard, Lars

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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.

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DO - 10.1016/j.cjca.2017.03.018

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VL - 33

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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

Abstract

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