Injuries to the Aorta, Aortic Annulus, and Left Ventricle during Transcatheter Aortic Valve Replacement: Management and Outcomes

Nathaniel B. Langer, Nadira B. Hamid, Tamim M. Nazif, Omar K. Khalique, Torsten P. Vahl, Jonathon White, Juan A. Terre, Ramin Hastings, Diana Leung, Rebecca T. Hahn, Martin Leon, Susheel Kodali, Isaac George

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article numbere004735
JournalCirculation: Cardiovascular Interventions
Volume10
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

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Keywords

  • aortic valve stenosis
  • cardiovascular surgical procedures
  • intraoperative complications
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Langer, N. B., Hamid, N. B., Nazif, T. M., Khalique, O. K., Vahl, T. P., White, J., Terre, J. A., Hastings, R., Leung, D., Hahn, R. T., Leon, M., Kodali, S., & George, I. (2017). Injuries to the Aorta, Aortic Annulus, and Left Ventricle during Transcatheter Aortic Valve Replacement: Management and Outcomes. Circulation: Cardiovascular Interventions, 10(1), [e004735]. https://doi.org/10.1161/CIRCINTERVENTIONS.116.004735