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1000 Titel
  • Rapid development of an iatrogenic aortic dissection following transcatheter aortic valve implantation
1000 Autor/in
  1. Geile, Julian |
  2. Doberentz, Elke |
  3. Madea, Burkhard |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-03-14
1000 Erschienen in
1000 Quellenangabe
  • 16(2):335-339
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s12024-020-00219-2 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8338862/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Transcatheter aortic valve implantation (TAVI) represents a catheter-based and minimally invasive replacement of the aortic valve. TAVI is considered to be a relatively safe procedure and has evolved to a standard procedure in inoperable and high-risk patients with aortic stenosis. We present a case of an octogenarian who died in hospital less than a day after an initially satisfactory TAVI. Cardiologists suspected a combination of cardiogenic and hemorrhagic shock as the cause of death. Autopsy showed rupture of an extensive aortic dissection, which had developed within 24 h after the procedure. The cause of death was eventually defined as internal bleeding due to a rapid two-stage vascular process. The manner of death was considered accidental because an iatrogenic vessel injury beyond the aortic arch was causative for the death. This unusual case highlights the potential for rare, but fatal, complications within the scope of cardiac catheterizations, such as TAVI. Additionally, our findings suggest that these complications need to be recognized in the diagnostic process and management of post-interventional complications.
1000 Sacherschließung
lokal Iatrogenic Disease [MeSH]
lokal Aged, 80 and over [MeSH]
lokal Humans [MeSH]
lokal Aneurysm, Dissecting/pathology [MeSH]
lokal Aortic Aneurysm/pathology [MeSH]
lokal Aortic valve stenosis
lokal Transcatheter Aortic Valve Replacement/adverse effects [MeSH]
lokal Tunica Media [MeSH]
lokal Complications
lokal Male [MeSH]
lokal Cardiac catheterization
lokal Adventitia/pathology [MeSH]
lokal Transcatheter aortic valve implantation
lokal Aortic Valve Stenosis/surgery [MeSH]
lokal Dissection
lokal Case Report
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-7798-4429|https://frl.publisso.de/adhoc/uri/RG9iZXJlbnR6LCBFbGtl|https://frl.publisso.de/adhoc/uri/TWFkZWEsIEJ1cmtoYXJk
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  • DeepGreen-ID: eef1d3ba4c7940f2b5348c600f85a69f ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
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1000 Erstellt am 2023-11-18T15:03:36.964+0100
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1000 Zuletzt bearbeitet Thu Apr 04 09:37:32 CEST 2024
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