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Updated: Jul 20, 2026

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Published on: February 26, 2013
Large Tissue Debris Causing Cerebral Embolism After Transcatheter Aortic Valve Replacement
Shunsuke Kagawa1, Yoshiki Matsumura1, Ryo Matsumoto1
1Department of Cardiology, Osaka City General Hospital.
Abstract:
Cerebral vascular embolism is one of the complications of transcatheter aortic valve replacement (TAVR). Thrombolytic therapy is not expected to be effective when embolic material consists of a large tissue fragment. Instead, mechanical aspiration may be more effective therapy for acute cerebral infarction after TAVR. Here, we describe the case of an 87-year-old woman with aortic valve stenosis and heart failure who underwent TAVR using a self-expandable valve. Acute cerebral infarction with left middle cerebral artery occlusion caused by a large tissue fragment developed after the procedure.
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