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04.10.2017 | short report

Rupture of the aortic root

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

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

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.

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Titel: Rupture of the aortic root
A rare but life-threatening complication of transcatheter aortic valve replacement
verfasst von: Christian Reiter, MD
Michael Grund, MD
Alexander Nahler, MD
Clemens Steinwender, MD FESC
Thomas Lambert, MD FESC
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

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Summary

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