CC BY 4.0 · Aorta (Stamford) 2016; 04(06): 232-234
DOI: 10.12945/j.aorta.2016.16.029
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Transient Aortic Intramural Hematoma Complicating Transaortic Valve Replacement

Taylor Thomas
1   Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
,
Anil K. Poulose
1   Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
,
Kevin M. Harris
1   Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
› Institutsangaben
Weitere Informationen

Publikationsverlauf

22. Mai 2016

24. Oktober 2016

Publikationsdatum:
24. September 2018 (online)

Abstract

Acute aortic intramural hematoma, which is a variant of acute aortic syndromes, most frequently occurs spontaneously and typically is treated similar to classic aortic dissection. Here, we describe a case in which an iatrogenic aortic intramural hematoma occurs shortly after transaortic valve replacement. The patient was managed conservatively, and the hematoma quickly resolved as demonstrated by serial imaging.

 
  • References

  • 1 Hahn RT, Susheel KE, Murat T, Martin BL, Samir K, Deepika G. , et al. Echocardiographic imaging of procedural complications during balloon-expandable transcatheter aortic valve replacement. JACC Cardiovasc Imaging 2015; 8: 288-318 . DOI: 10.1016/j.jcmg.2014.12.013
  • 2 Nunez-Gil IJ, Bautista D, Cerrato E, Salinas P, Varbella F, Omede P. , et al. Incidence, management, and immediate- and long-term outcomes after iatrogenic aortic dissection during diagnostic or interventional coronary procedures. Circulation 2015; 131: 2114-2119 . DOI: 10.1161/CIRCULATIONAHA.115.015334
  • 3 Januzzi JL, Sabatine MS, Eagle KA, Evangelista A, Bruckman D, Fattori R. , et al. Iatrogenic aortic dissection. Am J Cardiol 2002; 89: 623-626 . DOI: 10.3400/avd.cr.11.00057
  • 4 Barbanti M, Yang TH, Rodès Cabau J, Tamburino C, Wood DA, Jilaihawi H. , et al. Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement. Circulation 2013; 128: 244-253 . DOI: 10.1161/CIRCULATIONAHA.113.002947
  • 5 Harris KM, Braverman AC, Eagle KA, Woznicki EM, Pyeritz RE, Myrmel T. , et al. Acute aortic intramural hematoma: an analysis from the International Registry of Acute Aortic Dissection. Circulation 2012; 126: S91-S96 . DOI: 10.1161/CIRCULATIONAHA.111.084541
  • 6 Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey Jr DE. , et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Circulation 2010; 121: e266-e369 . DOI: 10.1161/CTR.0b013e3181d4739e
  • 7 Erbel R, Aboyans V, Boileau C, Bossone E, Di Bartolomeo R, Eggebrecht H. , et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology. Eur Heart J 2014; 35: 2873-2926 . DOI: 10.5603/KP.2014.0225
  • 8 Rylski B, Hoffman I, Beyersdorf I, Suedkamp M, Siepe M, Nitsch B. , et al. Iatrogenic acute aortic dissection Type A: insight from the German Registry for Acute Aortic Dissection Type A (GERAADA). Eur J Cardiothoracic Surg 2013; 44: 353-359 . DOI: 10.1093/ejcts/ezt055
  • 9 Vilacosta I, San Romas J, Ferreiros J, Aragoncillo P, Mendez R, Castillo JA. , et al. Natural history and serial morphology of aortic intramural hematoma: A novel variant of aortic dissection. Am Heart J 1997; 134: 495-507 . DOI: 10.1016/S0002-8703(97)70087-5