Double trouble: A case of periprocedural detection of intracardiac thrombus and aortic root dissection during emergent transfemoral TAVR

Echocardiography. 2017 Mar;34(3):462-464. doi: 10.1111/echo.13437. Epub 2017 Jan 11.

Abstract

We report a case of emergency transcatheter aortic valve replacement (TAVR) in a 65-year-old patient presenting with decompensated severe aortic stenosis. Transesophageal echocardiography (TEE) was used effectively to obtain measurements of the aortic annulus and for intra-procedural guidance. At baseline, we detected a left atrial appendage thrombus and a localized aortic root dissection after balloon valvuloplasty. The case highlights the important role that TEE may play during TAVR procedures.

Keywords: aortic dissection; echocardiography; intraoperative transesophageal echocardiography; left atrial appendage thrombus; three dimesional transesophageal; transcatheter aortic valve replacement.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm / complications
  • Aortic Aneurysm / diagnostic imaging*
  • Aortic Aneurysm / surgery
  • Aortic Dissection / complications
  • Aortic Dissection / diagnostic imaging*
  • Aortic Dissection / surgery
  • Aortic Valve Stenosis / complications*
  • Aortic Valve Stenosis / surgery
  • Coronary Thrombosis / complications
  • Coronary Thrombosis / diagnostic imaging*
  • Coronary Thrombosis / surgery
  • Echocardiography, Transesophageal / methods*
  • Female
  • Humans
  • Perioperative Care / methods
  • Transcatheter Aortic Valve Replacement / methods*