Delayed aortic regurgitation after TEVAR procedure: a case report

Autor: Soo Jin Park, Seungwook Lee, Jeong A Son, Seungji Hyun, Do Jung Kim, Sang Hyun Lim, You Sun Hong
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 17, Iss 1, Pp 1-5 (2022)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-022-02083-3
Popis: Abstract Background Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a procedure that places a stent-graft on the lesion of thoracic aorta through a minimally invasive approach. Case presentation Here we report that a catheter-induced aortic valve injury associated with TEVAR can cause delayed AR, exemplified by the case of a patient who developed acute AR 42 months after TEVAR. For this, aortic valve replacement was performed and the patient was discharged without complications. Conclusion Our results demonstrate that when a catheter-related procedure is performed around the aortic valve, slight injury of the valve can cause aortic insufficiency even 3 years after surgery. Consequently, when performing a catheter-related procedure around the aortic valve, special attention is always required.
Databáze: Directory of Open Access Journals
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