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Erschienen in: Wiener klinische Wochenschrift 23-24/2017

04.10.2017 | short report

Rupture of the aortic root

A rare but life-threatening complication of transcatheter aortic valve replacement

verfasst von: MD Christian Reiter, MD Michael Grund, MD Alexander Nahler, MD FESC Clemens Steinwender, MD FESC Thomas Lambert

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 23-24/2017

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Summary

Transcatheter aortic valve replacement (TAVR) has been shown to be a valid treatment option for patients with significant symptomatic aortic valve stenosis and high surgical risk. Rupture of the aortic root is a rare but life-threatening complication that occurs in approximately 1% of procedures and usually manifests as an acute complication at the time of valve implantation; however, physicians should be aware of a potentially subacute onset, since early recognition and immediate management are crucial. While many potential causes have been described, it is currently unknown which combinations will lead to its occurrence. Accurate preprocedural assessment of the aortic annulus and its adjacent structures as well as adequate sizing of the prosthetic valve are important steps to prevent rupture of the device landing zone.
Literatur
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Zurück zum Zitat Eggebrecht H, Schmermund A, Kahlert P, Erbel R, Voigtländer T, Mehta RH. Emergent cardiac surgery during transcatheter aortic valve implantation (TAVI): a weighted meta-analysis of 9,251 patients from 46 studies. EuroIntervention. 2013;8(9):1072–80. CrossRefPubMed Eggebrecht H, Schmermund A, Kahlert P, Erbel R, Voigtländer T, Mehta RH. Emergent cardiac surgery during transcatheter aortic valve implantation (TAVI): a weighted meta-analysis of 9,251 patients from 46 studies. EuroIntervention. 2013;8(9):1072–80. CrossRefPubMed
Metadaten
Titel
Rupture of the aortic root
A rare but life-threatening complication of transcatheter aortic valve replacement
verfasst von
MD Christian Reiter
MD Michael Grund
MD Alexander Nahler
MD FESC Clemens Steinwender
MD FESC Thomas Lambert
Publikationsdatum
04.10.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 23-24/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-017-1272-1