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...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
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BMC
2022-12-01
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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. |
first_indexed | 2024-04-11T05:04:31Z |
format | Article |
id | doaj.art-b8beec39b00f4bb7acfefe191e1fb2df |
institution | Directory Open Access Journal |
issn | 1749-8090 |
language | English |
last_indexed | 2024-04-11T05:04:31Z |
publishDate | 2022-12-01 |
publisher | BMC |
record_format | Article |
series | Journal of Cardiothoracic Surgery |
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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