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Airway Compression During Transcatheter Aortic Valve Replacement via Subclavian Artery Approach: A Case Report
Diana S DeAndrade1, Nicholas F Smith2, Stephen M McHugh3
1From the Department of Anesthesiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Abstract:
Transcatheter aortic valve replacement (TAVR) is an alternative to traditional surgery in patients considered to be at high or intermediate risk for open surgical repair of aortic stenosis. Despite its overall safety and efficacy, TAVR is associated with potentially serious complications including major vascular injury. Tracheal compression resulting from vascular pathology has been previously reported; however, airway compromise secondary to vascular injury during TAVR has not been described. We report a case of airway compression and respiratory compromise resulting from injury to the right subclavian artery during TAVR.
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