title: Double trouble: A case of periprocedural detection of intracardiac thrombus and aortic root dissection during emergent transfemoral TAVR.
abstract: We report a case of emergency transcatheter aortic valve replacement (TAVR) in a 65-year-old patient presenting with decompensated severe aortic stenosis. Transesophageal echocardiography (TEE) was used effectively to obtain measurements of the aortic annulus and for intra-procedural guidance. At baseline, we detected a left atrial appendage thrombus and a localized aortic root dissection after balloon valvuloplasty. The case highlights the important role that TEE may play during TAVR procedures.
authors.affiliation: Department of Anesthesiology and Pain Management, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
authors.forename: Carlos
authors.identifier: http://orcid.org/0000-0003-4984-2244
authors.initials: C
authors.lastname: Corredor
authors.affiliation: Division of Cardiology, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
authors.forename: Eric
authors.initials: E
authors.lastname: Horlick
authors.affiliation: Division of Cardiology, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
authors.forename: Wendy
authors.initials: W
authors.lastname: Tsang
authors.affiliation: Department of Anesthesiology and Pain Management, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Meineri
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000601:surgery; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D006801:Humans; D019990:Perioperative Care / Q000379:methods; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*
keywords: aortic dissection; echocardiography; intraoperative transesophageal echocardiography; left atrial appendage thrombus; three dimesional transesophageal; transcatheter aortic valve replacement