TY - JOUR
T1 - Injuries to the Aorta, Aortic Annulus, and Left Ventricle during Transcatheter Aortic Valve Replacement
T2 - Management and Outcomes
AU - Langer, Nathaniel B.
AU - Hamid, Nadira B.
AU - Nazif, Tamim M.
AU - Khalique, Omar K.
AU - Vahl, Torsten P.
AU - White, Jonathon
AU - Terre, Juan
AU - Hastings, Ramin
AU - Leung, Diana
AU - Hahn, Rebecca T.
AU - Leon, Martin
AU - Kodali, Susheel
AU - George, Isaac
N1 - Publisher Copyright:
© 2016 American Heart Association, Inc.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - The experience with transcatheter aortic valve replacement is increasing worldwide; however, the incidence of potentially catastrophic cardiac or aortic complications has not decreased. In most cases, significant injuries to the aorta, aortic valve annulus, and left ventricle require open surgical repair. However, the transcatheter aortic valve replacement patient presents a unique challenge as many patients are at high or prohibitive surgical risk and, therefore, an open surgical procedure may not be feasible or appropriate. Consequently, prevention of these potentially catastrophic injuries is vital, and practitioners need to understand when open surgical repair is required and when alternative management strategies can be used. The goal of this article is to provide an overview of current management and prevention strategies for major complications involving the aorta, aortic valve annulus, and left ventricle.
AB - The experience with transcatheter aortic valve replacement is increasing worldwide; however, the incidence of potentially catastrophic cardiac or aortic complications has not decreased. In most cases, significant injuries to the aorta, aortic valve annulus, and left ventricle require open surgical repair. However, the transcatheter aortic valve replacement patient presents a unique challenge as many patients are at high or prohibitive surgical risk and, therefore, an open surgical procedure may not be feasible or appropriate. Consequently, prevention of these potentially catastrophic injuries is vital, and practitioners need to understand when open surgical repair is required and when alternative management strategies can be used. The goal of this article is to provide an overview of current management and prevention strategies for major complications involving the aorta, aortic valve annulus, and left ventricle.
KW - aortic valve stenosis
KW - cardiovascular surgical procedures
KW - intraoperative complications
KW - transcatheter aortic valve replacement
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U2 - 10.1161/CIRCINTERVENTIONS.116.004735
DO - 10.1161/CIRCINTERVENTIONS.116.004735
M3 - Article
C2 - 28039322
AN - SCOPUS:85010022786
SN - 1941-7640
VL - 10
JO - Circulation: Cardiovascular Interventions
JF - Circulation: Cardiovascular Interventions
IS - 1
M1 - e004735
ER -