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ABSTRACT: Background
Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a procedure that places a stent-graft on the lesion of thoracic aorta through a minimally invasive approach.Case presentation
Here we report that a catheter-induced aortic valve injury associated with TEVAR can cause delayed AR, exemplified by the case of a patient who developed acute AR 42 months after TEVAR. For this, aortic valve replacement was performed and the patient was discharged without complications.Conclusion
Our results demonstrate that when a catheter-related procedure is performed around the aortic valve, slight injury of the valve can cause aortic insufficiency even 3 years after surgery. Consequently, when performing a catheter-related procedure around the aortic valve, special attention is always required.
SUBMITTER: Park SJ
PROVIDER: S-EPMC9789620 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Park Soo Jin SJ Lee Seungwook S Son Jeong A JA Hyun Seungji S Kim Do Jung DJ Lim Sang Hyun SH Hong You Sun YS
Journal of cardiothoracic surgery 20221223 1
<h4>Background</h4>Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a procedure that places a stent-graft on the lesion of thoracic aorta through a minimally invasive approach.<h4>Case presentation</h4>Here we report that a catheter-induced aortic valve injury associated ...[more]