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Descending aortic dissection injured by tip of the sheath during transcatheter aortic valve implantation

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Abstract

An 86-year-old woman was referred for transcatheter aortic valve implantation (TAVI) because of recurrent severe aortic stenosis after balloon aortic valvuloplasty in May 2014. We planned to implant a 23-mm Sapien XT valve by transfemoral approach. During procedure, aortic dissection was detected by transesophageal echocardiography (TEE). The dissection limited to the descending aorta and did not include the ascending aorta. Therefore, our team decided to implant the 23-mm Sapien valve as planned. After the procedure, the dissection was treated conservatively without surgical repair. Three weeks later, she was discharged without any complications.

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Authors and Affiliations

  1. Division of Cardiovascular Surgery, Cardiovascular Surgery Department, Kokura Memorial Hospital, Kitakyushu, 802-8555, Japan

    Atsushi Nagasawa & Yoshio Arai

  2. Division of Cardiology, Interventional Cardiology Department, Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan

    Shinichi Shirai, Norihiko Kamioka & Masaomi Hayashi

  3. Division of Cardiovascular Surgery and TAVI Program Division of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyushu, Japan

    Michiya Hanyu

Authors
  1. Atsushi Nagasawa
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  2. Shinichi Shirai
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  3. Michiya Hanyu
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  4. Yoshio Arai
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  5. Norihiko Kamioka
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  6. Masaomi Hayashi
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Correspondence to Shinichi Shirai.

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Nagasawa, A., Shirai, S., Hanyu, M. et al. Descending aortic dissection injured by tip of the sheath during transcatheter aortic valve implantation. Cardiovasc Interv and Ther 31, 122–127 (2016). https://doi.org/10.1007/s12928-015-0324-6

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  • DOI: https://doi.org/10.1007/s12928-015-0324-6

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