Key result
A 78-year-old female developed type A aortic dissection and valve thrombosis 22 months after TAVI, which was successfully managed with surgery and anticoagulation therapy.
Case Report (n=1)
Highlights a rare case of delayed type A aortic dissection and concurrent valve thrombosis 22 months after TAVI, successfully managed with surgery and anticoagulation.
Alerts clinicians to rare late complications after TAVI; leaves open true incidence and surveillance needs.
We report a case of a 78-year-old female who presented with type A aortic dissection 22 months following transcatheter aortic valve implantation (TAVI). In addition, preoperative echocardiogram showed high gradients across the aortic prosthesis which was found to be thrombosed. At surgery, the intimal tear appeared to be non-acute and anatomically related to the rim of the valve cage. The thrombosed valve was not replaced and the patient received anticoagulation therapy following surgery with significant improvement in valve gradients.
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Jacobzon et al. (2018) conducted a case report in Type A aortic dissection and valve thrombosis post-TAVI (n=1). Transcatheter aortic valve implantation (TAVI) was evaluated on Type A aortic dissection and valve thrombosis. A 78-year-old female developed type A aortic dissection and valve thrombosis 22 months after TAVI, which was successfully managed with surgery and anticoagulation therapy.
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