Related Experiment Video
Updated: Feb 14, 2026
06:59
Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
Published on: June 3, 2018
11.1K
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.
Annals of Vascular Surgery
|February 19, 2018
Summary
Transcatheter aortic valve replacement (TAVR) can lead to aortic rupture. Thoracic endovascular aortic repair (TEVAR) effectively treated this complication, ensuring patient stability.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Vascular Medicine
Background:
- Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for aortic stenosis.
- Aortic migration and subsequent rupture are rare but serious complications of TAVR.
- This case highlights a specific instance of iatrogenic aortic injury during TAVR.
Observation:
- An 85-year-old male with severe aortic stenosis experienced aortic embolization during TAVR.
- The procedure complicated with aortic rupture while repositioning the valve into the descending aorta.
- The patient required immediate intervention to manage the aortic injury.
Findings:
- Urgent thoracic endovascular aortic repair (TEVAR) was performed using an intra-aortic stent graft.
- A second stent graft reintervention was necessary due to recurrent proximal rupture.
- The patient was discharged after 50 days, managing other medical issues, and remained stable at one-year follow-up.
Implications:
- TEVAR is a viable and safe treatment for iatrogenic acute aortic rupture following TAVR.
- Endovascular repair offers a crucial solution for managing life-threatening aortic injuries during TAVR.
- This case underscores the importance of preparedness for and effective management of TAVR-related complications.
Related Concept Videos
01:14The Aorta
3.1K
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
3.1K
01:29Pulmonary Embolism I: Introduction
817
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
817
01:10The Arch of Aorta
2.0K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
2.0K
01:15Thoracic Aorta
1.9K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
1.9K
01:25Abdominal Aorta
2.6K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.6K
01:16Heart Valves
12.5K
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
12.5K