Transcatheter Treatment of Pure Aortic Regurgitation in a Horizontal Aorta Complicated by Valve Embolization and Aortic Dissection

被引：3

作者：

Mangieri, Antonio ^{[1
,2
]}

Giannini, Francesco ^{[1
]}

Laricchia, Alessandra ^{[2
]}

Romano, Vittorio ^{[2
]}

Lanzillo, Giuseppe ^{[3
]}

Pagnesi, Matteo ^{[2
]}

Ponticelli, Francesco ^{[2
]}

Ancona, Marco ^{[2
]}

Latib, Azeem ^{[1
,4
,5
,6
]}

Colombo, Antonio ^{[1
]}

机构：

[1] GVM Care & Res Maria Cecilia Hosp, Intervent Cardiol Unit, Via Via Madonna Genova 1, I-48033 Cotignola, Ravenna, Italy

[2] Ist Sci San Raffaele, Intervent Cardiol Unit, Milan, Italy

[3] Fdn IRCCS Policlin San Matteo, Div Cardiol, Pavia, Italy

[4] EMO GVM Ctr Cuore Columbus, San Raffaele Sci Inst, Milan, Italy

[5] Univ Cape Town, Div Cardiol, Dept Med, Cape Town, South Africa

[6] Montefiore Med Ctr, Dept Cardiol, New York, NY USA

来源：

CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2019年 / 20卷 / 06期

关键词：

Aortic regurgitation; Pure aortic regurgitation; Valve embolization; Aortic dehiscence; Aortic dissection; Transcatheter aortic valve implantation; Bicuspid aortic valve;

D O I：

10.1016/j.carrev.2018.12.013

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 83-year-old female with severe aortic regurgitation (AR) and an horizontal ascending aorta was scheduled for a transcatheter aortic valve replacement. After the complete deployment, a Portico 29 mm valve embolized in the ascending aorta due to the unfavorable anatomy of the anchoring zone. A second Portico 29 mm was successfully implanted using the embolized valve for superior anchoring. The patient died 7 days after the procedure due to a retrograde aortic dissection. This case shows a rare but possible complication that occurs especially in unfavorable and complex aortic anatomies. (c) 2019 Elsevier Inc. All rights reserved.

引用

页码：535 / 536

页数：2

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