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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aortic Regurgitation I: Introduction01:15

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Transient Aortic Intramural Hematoma Complicating Transaortic Valve Replacement.

Taylor Thomas1, Anil K Poulose1, Kevin M Harris1

  • 1Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.

Aorta (Stamford, Conn.)
|May 19, 2017
PubMed
Summary

Iatrogenic aortic intramural hematoma, a variant of acute aortic syndromes, can occur after transaortic valve replacement. Conservative management led to rapid resolution in this reported case.

Keywords:
Aortic intramural hematomaLatrogenic injuryTAVR

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Area of Science:

  • Cardiovascular Medicine
  • Aortic Diseases
  • Surgical Complications

Background:

  • Acute aortic intramural hematoma is a variant of acute aortic syndromes.
  • It typically occurs spontaneously and is managed similarly to aortic dissection.
  • Transaortic valve replacement is a common cardiac procedure.

Observation:

  • This case report details an iatrogenic aortic intramural hematoma.
  • The complication occurred shortly after a transaortic valve replacement procedure.
  • The patient presented with symptoms suggestive of an acute aortic event.

Findings:

  • The iatrogenic aortic intramural hematoma was confirmed via imaging.
  • Conservative management was initiated for the patient.
  • Serial imaging demonstrated a rapid resolution of the hematoma.

Implications:

  • Iatrogenic aortic intramural hematoma is a potential complication following transaortic valve replacement.
  • Conservative management can be effective for iatrogenic aortic intramural hematoma.
  • This case highlights the importance of vigilant monitoring after aortic valve procedures.