title: Descending aortic dissection injured by tip of the sheath during transcatheter aortic valve implantation.
abstract: An 86-year-old woman was referred for transcatheter aortic valve implantation (TAVI) because of recurrent severe aortic stenosis after balloon aortic valvuloplasty in May 2014. We planned to implant a 23-mm Sapien XT valve by transfemoral approach. During procedure, aortic dissection was detected by transesophageal echocardiography (TEE). The dissection limited to the descending aorta and did not include the ascending aorta. Therefore, our team decided to implant the 23-mm Sapien valve as planned. After the procedure, the dissection was treated conservatively without surgical repair. Three weeks later, she was discharged without any complications.
authors.affiliation: Division of Cardiovascular Surgery, Cardiovascular Surgery Department, Kokura Memorial Hospital, Kitakyushu, 802-8555, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nagasawa
authors.affiliation: Division of Cardiology, Interventional Cardiology Department, Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan. shirai440130@gmail.com.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Shirai
authors.affiliation: Division of Cardiovascular Surgery and TAVI Program Division of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyushu, Japan.
authors.forename: Michiya
authors.initials: M
authors.lastname: Hanyu
authors.affiliation: Division of Cardiovascular Surgery, Cardiovascular Surgery Department, Kokura Memorial Hospital, Kitakyushu, 802-8555, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Arai
authors.affiliation: Division of Cardiology, Interventional Cardiology Department, Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Kamioka
authors.affiliation: Division of Cardiology, Interventional Cardiology Department, Kokura Memorial Hospital, 3-2-1 Asano, Kokurakita-ku, Kitakyushu, Japan.
authors.forename: Masaomi
authors.initials: M
authors.lastname: Hayashi
mesh_terms: D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D063126:Balloon Valvuloplasty / Q000009:adverse effects; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*
keywords: Descending aortic dissection; Transcatheter aortic valve implantation; Transfemoral approach; Vascular complication