Key result
Open surgical repair with TAVR explantation and AVR successfully manages post-TAVR aortic dissection.
Why the study?
Aortic dissection after transcatheter aortic valve replacement is rare and requires specific surgical management including valve explantation and replacement.
Open surgical repair for aortic dissection post-TAVR requires TAVR explantation and subsequent surgical aortic valve replacement.
May support open repair with TAVR explantation in select post-TAVR dissections; leaves open optimal strategies and prospective validation.
Aortic dissection after transcatheter aortic valve replacement is rare but can be managed with open surgical repair. Principles of repair are the same as in patients with spontaneous aortic dissection; however, all procedures include transcatheter aortic valve replacement explantation and subsequent aortic valve replacement. A high index of suspicion facilitates early recognition and effective surgical repair.
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DeRoo et al. (2024) conducted a review in Aortic dissection after transcatheter aortic valve replacement. Open surgical repair was evaluated. Aortic dissection after transcatheter aortic valve replacement can be managed with open surgical repair, which includes TAVR explantation and subsequent aortic valve replacement.
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