loading page

Transfemoral Transcatheter Aortic Valve Implantation using a Long Sheath for Chronic Type B Aortic Dissection: A Case Report
  • +5
  • Masaki Tsuda,
  • Yasuyuki Egami,
  • Koji Yasumoto,
  • Naotaka Okamoto,
  • Yasuharu Matsunaga-Lee,
  • Masamichi Yano,
  • Masami Nishino,
  • Jun Tanouchi
Masaki Tsuda
Osaka Rosai Hospital
Author Profile
Yasuyuki Egami
Osaka Rosai Hospital
Author Profile
Koji Yasumoto
Osaka Rosai Hospital
Author Profile
Naotaka Okamoto
Osaka Rosai Hospital
Author Profile
Yasuharu Matsunaga-Lee
Osaka Rosai Hospital
Author Profile
Masamichi Yano
Osaka Rosai Hospital
Author Profile
Masami Nishino
Osaka Rosai Hospital
Author Profile
Jun Tanouchi
Osaka Rosai Hospital
Author Profile

Abstract

A 79-year-old woman with a history of open heart surgery presented with severe aortic stenosis (AS). Computed tomography (CT) showed chronic type B aortic dissection (TBAD) between the distal aortic arch and the left common iliac artery. After careful consideration, we planned transfemoral (TF)-transcatheter aortic valve implantation (TAVI) using a 20-Fr long sheath to minimize contact with the false lumen of the aorta. TAVI was performed under general anesthesia, guided by transesophageal echocardiography (TEE). A transcatheter aortic valve was successfully implanted. TEE, immediately after valve implantation, showed no remarkable changes in the descending thoracic aorta. Repeated post-procedural CT examinations showed no obvious changes in the aorta. The patient was stable without sequelae at the 12-month follow-up. This case demonstrates that TF-TAVI using a long sheath under TEE guidance can be a treatment option for patients with severe AS and chronic TBAD.