title: Endovascular Repair for Type A Aortic Dissection After Transcatheter Aortic Valve Replacement With a Medtronic CoreValve.
abstract: Transcatheter aortic valve replacement is being used with increasing frequency in patients with severe aortic stenosis who are otherwise deemed to be at high surgical risk. Aortic dissection is a rare complication of transcatheter aortic valve replacement and poses a unique management dilemma. We describe the treatment of an acute Stanford type A aortic dissection after transcatheter aortic valve replacement with a modified thoracic endovascular stent graft in a 95-year-old woman.
authors.affiliation: Division of Cardiothoracic Surgery, University of Washington School of Medicine, Seattle, Washington.
authors.forename: Kathleen K S
authors.initials: KK
authors.lastname: Berfield
authors.affiliation: Division of Vascular Surgery, University of Washington School of Medicine, Seattle, Washington. Electronic address: mpsweet@uw.edu.
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Sweet
authors.affiliation: Division of Cardiology, University of Washington School of Medicine, Seattle, Washington.
authors.forename: James M
authors.initials: JM
authors.lastname: McCabe
authors.affiliation: Division of Cardiology, University of Washington School of Medicine, Seattle, Washington.
authors.forename: Mark
authors.initials: M
authors.lastname: Reisman
authors.affiliation: Division of Cardiothoracic Anesthesia, University of Washington School of Medicine, Seattle, Washington.
authors.forename: G Burkhard
authors.initials: GB
authors.lastname: Mackensen
authors.affiliation: Division of Cardiothoracic Surgery, University of Washington School of Medicine, Seattle, Washington.
authors.forename: Nahush A
authors.initials: NA
authors.lastname: Mokadam
authors.affiliation: Division of Cardiology, University of Washington School of Medicine, Seattle, Washington.
authors.forename: Larry S
authors.initials: LS
authors.lastname: Dean
authors.affiliation: Division of Cardiothoracic Surgery, University of Washington School of Medicine, Seattle, Washington.
authors.forename: Jason W
authors.initials: JW
authors.lastname: Smith
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000145:classification / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000145:classification / Q000209:etiology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery; D057510:Endovascular Procedures; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects