Acute Aortic Dissection after Transcatheter Aortic Valve Replacement.

Acute aortic dissection (AAD) is a rare and potentially fatal complication associated with transcatheter aortic valve replacement (TAVR). Due to the paucity of existing institutional data, we sought to assess the incidence of post-implant AAD in patients who underwent TAVR at a single institution. All patients who underwent TAVR from 2013 - 2022 were retrospectively reviewed to identify patients who possessed clinical or radiologic evidence of post-TAVR AAD. Follow-up and survival data were retrieved for all included patients. A total of 4317 patients underwent TAVR, of which 9 (0.2%) sustained an AAD. These patients had a mean age of 80 (range 53 - 92) years, mean STS 30-day mortality risk of 5.7% (2.4-16.7%), and mean effective aortic valve area of 0.8 (0.4-1.5) cm

Informations de copyright

Copyright © 2024. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.