Transcatheter Aortic Valve Implantation Bailout for Severe Aortic Insufficiency due to Aortic Root Dissection Following Ascending Aortic Aneurysm Repair.

Autor:	Sanchez-Nadales A; Department of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic Florida, Weston Florida.; Division of Cardiology, Department of Medicine, University of Illinois Chicago, Chicago, Illlinois., Alonso M; Department of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic Florida, Weston Florida., Lopez D; Department of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic Florida, Weston Florida., Asher CR; Department of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic Florida, Weston Florida., Hakemi EU; Department of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Jazyk:	angličtina
Zdroj:	Texas Heart Institute journal [Tex Heart Inst J] 2024 Nov 26; Vol. 51 (2), pp. e238368. Date of Electronic Publication: 2024 Nov 26 (Print Publication: 2024).
DOI:	10.14503/THIJ-23-8368
Abstrakt:	This novel case documents the successful use of transcatheter aortic valve implantation to treat severe aortic insufficiency arising from aortic root dissection following the repair of an ascending aortic aneurysm in a 75-year-old female patient. After she presented with symptoms of congestive heart failure, investigation revealed new severe aortic insufficiency and an acute aortic dissection. Given the prohibitive risks of reoperation, a self-expanding 27-mm Portico (St Jude Medical) prosthetic aortic valve was deployed, resulting in substantial clinical improvement without procedural complications. This case highlights the versatility of transcatheter aortic valve implantation in managing complex aortic disease and emphasizes the critical role of multidisciplinary evaluation and careful prosthesis selection. Competing Interests: Conflict of Interest Disclosure: The authors declare that they have no competing interests. (© 2024 The Authors. Published by The Texas Heart Institute®.)
Databáze:	MEDLINE
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