TAVR Complicated by Thoracic Aortic Perforation and Intussusception of the Right Iliac: Report of Successful Emergent Management With Endovascular Techniques

Ashleigh Long; Paul Mahoney

TAVR Complicated by Thoracic Aortic Perforation and Intussusception of the Right Iliac: Report of Successful Emergent Management With Endovascular Techniques

J Invasive Cardiol. 2019 May;31(5):E97.

Authors

Ashleigh Long, Paul Mahoney¹

Affiliation

¹ Sentara Heart Valve and Structural Disease Center, 600 Gresham Dr, Norfolk, VA 23507 Email. paul.mahoney.md@gmail.com.

PMID: 31034445

Abstract

Percutaneous approaches have become routine in transcatheter aortic valve replacement (TAVR). Despite numerous advantages, vascular complications associated with percutaneous access can occur during and after TAVR, and increase morbidity and mortality significantly. Effective management of potentially catastrophic vascular complications often requires prompt recognition, diagnosis, and management by multidisciplinary teams.

Keywords: EVAR; TEVAR; transcatheter aortic valve replacement.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aged, 80 and over
Aorta, Thoracic* / diagnostic imaging
Aorta, Thoracic* / injuries
Aorta, Thoracic* / surgery
Aortic Valve Stenosis / diagnosis
Aortic Valve Stenosis / surgery*
Computed Tomography Angiography / methods*
Endovascular Procedures / methods*
Hemostatic Techniques
Humans
Iliac Artery / diagnostic imaging
Iliac Artery / injuries
Intraoperative Complications* / diagnostic imaging
Intraoperative Complications* / etiology
Intraoperative Complications* / physiopathology
Intraoperative Complications* / surgery
Male
Severity of Illness Index
Transcatheter Aortic Valve Replacement* / adverse effects
Transcatheter Aortic Valve Replacement* / methods
Treatment Outcome
Vascular System Injuries* / diagnostic imaging
Vascular System Injuries* / etiology
Vascular System Injuries* / physiopathology
Vascular System Injuries* / surgery