Descending Aorta Rupture after Transcatheter Aortic Valve Embolization.

BACKGROUND

To report a case of rupture of the descending aorta after aortic migration during transcatheter aortic valve replacement (TAVR).

METHODS

An 85-year-old man with a severe and symptomatic aortic stenosis underwent elective TAVR, which complicated with embolization into the ascending aorta. While repositioning into the descending aorta, the procedure complicated with aortic rupture.

RESULTS

The patient required urgent thoracic intravalve stent-graft implantation (thoracic endovascular aortic repair [TEVAR]). Reintervention with other stent graft was required 2 days after initial procedure as proximal rupture was again diagnosed. Patient was discharged 50 days later because of other medical complications. He remains stable at 1 year of follow-up.

CONCLUSIONS

TEVAR is a valid and safe option in the treatment of iatrogenic acute aortic rupture due to TAVR.