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Updated: Feb 14, 2026

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
Published on: June 3, 2018
Descending Aorta Rupture after Transcatheter Aortic Valve Embolization
África Duque Santos1, Andrés Reyes Valdivia1, Pablo Gallo González1
1Department of Vascular and Endovascular Surgery, Ramón y Cajal's University Hospital, Madrid, Spain.
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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