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Updated: Feb 2, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Delayed aortic dissection and valve thrombosis after transcatheter aortic valve implantation
Ehud Jacobzon1, Arik Wolak2, Danny Fink1
1Department of Cardiothoracic Surgery, Shaare Zedek Medical Center, Hebrew University of Jerusalem Medical School, Jerusalem, Israel.
Abstract:
We report a case of a 78-year-old female who presented with type A aortic dissection 22 months following transcatheter aortic valve implantation (TAVI). In addition, preoperative echocardiogram showed high gradients across the aortic prosthesis which was found to be thrombosed. At surgery, the intimal tear appeared to be non-acute and anatomically related to the rim of the valve cage. The thrombosed valve was not replaced and the patient received anticoagulation therapy following surgery with significant improvement in valve gradients.
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