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Delayed aortic regurgitation after TEVAR procedure: a case report.


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

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Delayed aortic regurgitation after TEVAR procedure: a case report.

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]

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