Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

1.6K
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.6K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

1.2K
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
1.2K
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

598
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
598
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

621
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
621

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Mitral valve surgery post-transcatheter aortic valve replacement: A 10-year, single-center, retrospective analysis.

JTCVS structural and endovascular·2026
Same author

Left ventricular perforation after transatrial delivery of a balloon-expandable valve.

JTCVS structural and endovascular·2026
Same author

Aortic dissection after transcatheter aortic valve replacement.

JTCVS structural and endovascular·2026
Same author

A decade of cardiac surgery after transcatheter aortic valve replacement: Short-term clinical outcomes at a high-volume center.

JTCVS structural and endovascular·2026
Same author

Redo surgical aortic valve replacement versus valve-in-valve transcatheter aortic valve replacement with balloon valve fracture: Short-term clinical outcomes.

JTCVS structural and endovascular·2026
Same author

Transcatheter aortic valve replacement use in young patients before and after the first low-risk trial publication.

JTCVS structural and endovascular·2026

Related Experiment Video

Updated: May 5, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.3K

Aortic Dissection Following Transcatheter Aortic Valve Replacement.

Bret DeGraaff1, Scott C DeRoo1, Isaac George2

  • 1Department of Cardiothoracic Surgery, Division of Cardiac Surgery, University of Washington, Seattle, Washington.

Seminars in Thoracic and Cardiovascular Surgery
|December 15, 2024
PubMed
Summary

Transcatheter Aortic Valve Replacement (TAVR) is a common treatment for aortic stenosis. While rare, aortic dissection is a serious complication that requires prompt diagnosis and management.

Keywords:
aortic dissectionendovascular managementtranscatheter aortic valve replacement (TAVR)

More Related Videos

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

11.6K
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

194

Related Experiment Videos

Last Updated: May 5, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.3K
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

11.6K
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

194

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Transcatheter Aortic Valve Replacement (TAVR) is increasingly the preferred treatment for aortic stenosis.
  • Despite TAVR's safety improvements, complications can occur, including aortic dissection.
  • Aortic dissection post-TAVR is a rare but serious complication affecting the ascending or descending thoracic aorta.

Purpose of the Study:

  • To highlight the occurrence and management of aortic dissection following TAVR.
  • To emphasize the importance of maintaining a high index of suspicion for diagnosing aortic dissection post-TAVR.
  • To review treatment strategies for aortic dissection in the context of TAVR.

Main Methods:

  • Review of literature on TAVR complications.
  • Analysis of reported cases of aortic dissection after TAVR.
  • Discussion of diagnostic and management approaches.

Main Results:

  • Aortic dissection after TAVR can be acute or delayed, involving the ascending or descending aorta.
  • Bicuspid aortic valve and ascending aortic aneurysm are risk factors for Type A dissection post-TAVR.
  • Prompt diagnosis and management are crucial due to the rarity and severity of this complication.

Conclusions:

  • Aortic dissection is a rare but significant complication of TAVR.
  • Early recognition and appropriate management, including surgical or endovascular interventions, are vital.
  • Risk factors such as bicuspid aortic valves and ascending aortic aneurysms warrant careful consideration in TAVR candidates.