Don’t Trust the Imaging

Mesenteric ischemia is a rare but lethal complication of transcatheter aortic valve replacement (TAVR). We present a challenging case of an 80-year-old man who had abdominal pain few hours following TAVR. Repeated abdominal and pelvic imaging showed no vascular obstruction, but exploratory laparosco...

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Main Authors: Arsalan Abu-Much, MD, Israel M. Barbash, MD, Victor Guetta, MD, Amit Segev, MD, Paul Fefer, MD, Shlomi Matetzky, MD, Noam Nissan, MD, PhD, Elad Maor, MD, PhD
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920313346
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author Arsalan Abu-Much, MD
Israel M. Barbash, MD
Victor Guetta, MD
Amit Segev, MD
Paul Fefer, MD
Shlomi Matetzky, MD
Noam Nissan, MD, PhD
Elad Maor, MD, PhD
author_facet Arsalan Abu-Much, MD
Israel M. Barbash, MD
Victor Guetta, MD
Amit Segev, MD
Paul Fefer, MD
Shlomi Matetzky, MD
Noam Nissan, MD, PhD
Elad Maor, MD, PhD
author_sort Arsalan Abu-Much, MD
collection DOAJ
description Mesenteric ischemia is a rare but lethal complication of transcatheter aortic valve replacement (TAVR). We present a challenging case of an 80-year-old man who had abdominal pain few hours following TAVR. Repeated abdominal and pelvic imaging showed no vascular obstruction, but exploratory laparoscopy revealed a necrotic bowel. (Level of Difficulty: Intermediate.)
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spelling doaj.art-3db73b4896bb4109a60fb50d809d27262022-12-21T22:47:42ZengElsevierJACC: Case Reports2666-08492020-12-0121523392343Don’t Trust the ImagingArsalan Abu-Much, MD0Israel M. Barbash, MD1Victor Guetta, MD2Amit Segev, MD3Paul Fefer, MD4Shlomi Matetzky, MD5Noam Nissan, MD, PhD6Elad Maor, MD, PhD7Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, Israel; Address for correspondence: Dr. Arsalan Abu-Much, Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Derech Sheba 2, Ramat Gan, Israel.Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, IsraelLeviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, IsraelLeviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, IsraelLeviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, IsraelLeviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, IsraelSackler School of Medicine, Tel Aviv University, Tel-Aviv, Israel; Department of Radiology, Sheba Medical Center, Tel Hashomer, IsraelLeviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv, IsraelMesenteric ischemia is a rare but lethal complication of transcatheter aortic valve replacement (TAVR). We present a challenging case of an 80-year-old man who had abdominal pain few hours following TAVR. Repeated abdominal and pelvic imaging showed no vascular obstruction, but exploratory laparoscopy revealed a necrotic bowel. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084920313346aortic valvecomplicationnecrosisstenosisthrombosisthrombus
spellingShingle Arsalan Abu-Much, MD
Israel M. Barbash, MD
Victor Guetta, MD
Amit Segev, MD
Paul Fefer, MD
Shlomi Matetzky, MD
Noam Nissan, MD, PhD
Elad Maor, MD, PhD
Don’t Trust the Imaging
JACC: Case Reports
aortic valve
complication
necrosis
stenosis
thrombosis
thrombus
title Don’t Trust the Imaging
title_full Don’t Trust the Imaging
title_fullStr Don’t Trust the Imaging
title_full_unstemmed Don’t Trust the Imaging
title_short Don’t Trust the Imaging
title_sort don t trust the imaging
topic aortic valve
complication
necrosis
stenosis
thrombosis
thrombus
url http://www.sciencedirect.com/science/article/pii/S2666084920313346
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