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  • Title: Descending Aorta Rupture after Transcatheter Aortic Valve Embolization.
    Author: Duque Santos Á, Reyes Valdivia A, Gallo González P, González Ferrer E, Ocaña Guaita J, Gandarias Zúñiga C.
    Journal: Ann Vasc Surg; 2018 May; 49():312.e1-312.e4. PubMed ID: 29455016.
    Abstract:
    BACKGROUND: To report a case of rupture of the descending aorta after aortic migration during transcatheter aortic valve replacement (TAVR). METHODS: An 85-year-old man with a severe and symptomatic aortic stenosis underwent elective TAVR, which complicated with embolization into the ascending aorta. While repositioning into the descending aorta, the procedure complicated with aortic rupture. RESULTS: The patient required urgent thoracic intravalve stent-graft implantation (thoracic endovascular aortic repair [TEVAR]). Reintervention with other stent graft was required 2 days after initial procedure as proximal rupture was again diagnosed. Patient was discharged 50 days later because of other medical complications. He remains stable at 1 year of follow-up. CONCLUSIONS: TEVAR is a valid and safe option in the treatment of iatrogenic acute aortic rupture due to TAVR.
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