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Delayed aortic regurgitation after TEVAR procedure: a case report.
Soo Jin Park1, Seungwook Lee2, Jeong A Son2
1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Journal of Cardiothoracic Surgery
|December 23, 2022
Summary
Delayed aortic regurgitation (AR) can occur years after thoracic endovascular aortic repair (TEVAR) due to catheter-induced valve injury. Vigilance during catheter procedures near the aortic valve is crucial to prevent long-term complications.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Cardiology
Background:
- Acute aortic regurgitation (AR) presents an emergent challenge due to the left ventricle's limited adaptation to sudden volume overload.
- Thoracic endovascular aortic repair (TEVAR) is a minimally invasive technique for treating thoracic aorta lesions.
Observation:
- A case report details a patient experiencing acute AR 42 months post-TEVAR.
- The AR was attributed to a catheter-induced injury to the aortic valve during the initial TEVAR procedure.
Findings:
- Catheter-related procedures near the aortic valve can lead to delayed AR, even years after the intervention.
- Aortic valve replacement was successfully performed in the reported case, with the patient discharged without complications.
Implications:
- Subtle aortic valve injury during catheterization can manifest as significant aortic insufficiency long after the procedure.
- Heightened awareness and meticulous technique are essential for catheter-related procedures involving the aortic valve to mitigate delayed complications.
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