title: First case of a left atrial dissection after transcatheter aortic valve replacement.
abstract: The left atrial dissection is a very infrequently encountered complication after valve replacement and never seen after Transcatheter aortic valve replacement (TAVR). We present an 84-year-old female, who underwent successful transapical TAVR and consequently developed contained left atrial dissection seen on transesophageal echocardiogram. The patient remained stable throughout the procedure and was monitored in critical care unit with conservative management. Although there is low associated intraop mortality, prompt recognition is paramount with follow-up serial imaging.
authors.affiliation: Department of Cardiology, Cooper University Hospital, Camden, New Jersey; Department of Interventional Cardiology and Structural heart disease, Rhode Island Hospital, Warren Alpert School of Medicine of Brown University. Electronic address: rizwansardar@hotmail.com.
authors.forename: M Rizwan
authors.initials: MR
authors.lastname: Sardar
authors.affiliation: Department of Cardiology, Cooper University Hospital, Camden, New Jersey.
authors.forename: Georges I
authors.initials: GI
authors.lastname: Kaddissi
authors.affiliation: Department of Cardiology, Cooper University Hospital, Camden, New Jersey.
authors.forename: Sajjad A
authors.initials: SA
authors.lastname: Sabir
authors.affiliation: Department of Cardiology, Cooper University Hospital, Camden, New Jersey.
authors.forename: Simon K
authors.initials: SK
authors.lastname: Topalian
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000293:injuries; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Left atrial dissection; TRANSESOPHAGEAL echocardiogram; Transcatheter aortic valve replacement