Delayed aortic regurgitation after TEVAR procedure: a case report

Abstract Background Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a p...

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Main Authors: Soo Jin Park, Seungwook Lee, Jeong A Son, Seungji Hyun, Do Jung Kim, Sang Hyun Lim, You Sun Hong
Format: Article
Language:English
Published: BMC 2022-12-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-022-02083-3
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author Soo Jin Park
Seungwook Lee
Jeong A Son
Seungji Hyun
Do Jung Kim
Sang Hyun Lim
You Sun Hong
author_facet Soo Jin Park
Seungwook Lee
Jeong A Son
Seungji Hyun
Do Jung Kim
Sang Hyun Lim
You Sun Hong
author_sort Soo Jin Park
collection DOAJ
description Abstract Background Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a procedure that places a stent-graft on the lesion of thoracic aorta through a minimally invasive approach. Case presentation Here we report that a catheter-induced aortic valve injury associated with TEVAR can cause delayed AR, exemplified by the case of a patient who developed acute AR 42 months after TEVAR. For this, aortic valve replacement was performed and the patient was discharged without complications. Conclusion Our results demonstrate that when a catheter-related procedure is performed around the aortic valve, slight injury of the valve can cause aortic insufficiency even 3 years after surgery. Consequently, when performing a catheter-related procedure around the aortic valve, special attention is always required.
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spelling doaj.art-b8beec39b00f4bb7acfefe191e1fb2df2022-12-25T12:28:50ZengBMCJournal of Cardiothoracic Surgery1749-80902022-12-011711510.1186/s13019-022-02083-3Delayed aortic regurgitation after TEVAR procedure: a case reportSoo Jin Park0Seungwook Lee1Jeong A Son2Seungji Hyun3Do Jung Kim4Sang Hyun Lim5You Sun Hong6Department of Thoracic and Cardiovascular Surgery, Asan Medical CenterDepartment of Thoracic and Cardiovascular Surgery, Ajou University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Ajou University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Ajou University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Ajou University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Ajou University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Ajou University School of MedicineAbstract Background Acute aortic regurgitation (AR) is uncommon condition and usually results in an emergent situation because the left ventricle does not adapt quickly due to a sudden increase in end-diastolic volume caused by the regurgitant flow. Thoracic endovascular aortic repair (TEVAR) is a procedure that places a stent-graft on the lesion of thoracic aorta through a minimally invasive approach. Case presentation Here we report that a catheter-induced aortic valve injury associated with TEVAR can cause delayed AR, exemplified by the case of a patient who developed acute AR 42 months after TEVAR. For this, aortic valve replacement was performed and the patient was discharged without complications. Conclusion Our results demonstrate that when a catheter-related procedure is performed around the aortic valve, slight injury of the valve can cause aortic insufficiency even 3 years after surgery. Consequently, when performing a catheter-related procedure around the aortic valve, special attention is always required.https://doi.org/10.1186/s13019-022-02083-3Aortic regurgitationCatheter induced injuryThoracic endovascular aortic repair (TEVAR)
spellingShingle Soo Jin Park
Seungwook Lee
Jeong A Son
Seungji Hyun
Do Jung Kim
Sang Hyun Lim
You Sun Hong
Delayed aortic regurgitation after TEVAR procedure: a case report
Journal of Cardiothoracic Surgery
Aortic regurgitation
Catheter induced injury
Thoracic endovascular aortic repair (TEVAR)
title Delayed aortic regurgitation after TEVAR procedure: a case report
title_full Delayed aortic regurgitation after TEVAR procedure: a case report
title_fullStr Delayed aortic regurgitation after TEVAR procedure: a case report
title_full_unstemmed Delayed aortic regurgitation after TEVAR procedure: a case report
title_short Delayed aortic regurgitation after TEVAR procedure: a case report
title_sort delayed aortic regurgitation after tevar procedure a case report
topic Aortic regurgitation
Catheter induced injury
Thoracic endovascular aortic repair (TEVAR)
url https://doi.org/10.1186/s13019-022-02083-3
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AT dojungkim delayedaorticregurgitationaftertevarprocedureacasereport
AT sanghyunlim delayedaorticregurgitationaftertevarprocedureacasereport
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