title: Iatrogenic dissection of the descending aorta: Conservative or endovascular treatment?
abstract: Transcatheter aortic valve implantation (TAVI) is without any doubt a standard technique and the treatment of choice of severe aortic valve stenosis (AVS) in very high-operative risk patients. However, a number of complications may occur and has been described. Improper valve position, valve migration, paravalvular regurgitation, conduction disturbances, stroke and aortic dissection have been succeeded despite the perfection of the technique. For anyone of the complications above described, a solution may be invented. We present an interesting case of an 81-year-old woman with severe AVS treated through TAVI due to very high operative risk. This female, 12 days later presented with thoracic pain and shortness of breath and through the computed tomography of the chest performed was diagnosed a dissection of the descending aorta. She successfully underwent on thoracic endovascular aortic repair. In this report, we refer the bibliographic data and we discuss the treatment options in these cases.
authors.affiliation: Department of Cardiac Surgery, Evangelismos General Hospital of Athens, Athens, Greece.
authors.forename: Nikolaos G
authors.initials: NG
authors.lastname: Baikoussis
authors.affiliation: Department of Cardiac Surgery, Evangelismos General Hospital of Athens, Athens, Greece.
authors.forename: Michalis
authors.initials: M
authors.lastname: Argiriou
authors.affiliation: Department of Interventional Radiology, Evangelismos General Hospital of Athens, Athens, Greece.
authors.forename: Theodoros
authors.initials: T
authors.lastname: Kratimenos
authors.affiliation: Department of Anesthesiology, Evangelismos General Hospital of Athens, Athens, Greece.
authors.forename: Vasiliki
authors.initials: V
authors.lastname: Karameri
authors.affiliation: Department of Cardiac Surgery, Evangelismos General Hospital of Athens, Athens, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Dedeilias
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*; D016896:Treatment Outcome