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Double trouble: A case of periprocedural detection of intracardiac thrombus and aortic root dissection during emergent transfemoral TAVR |
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| Authors: | Carlos Corredor MD Eric Horlick MD Wendy Tsang MD Massimiliano Meineri MD |
| Affiliation: | 1. Department of Anesthesiology and Pain Management, Toronto General Hospital, University Health Network, Toronto, ON, Canada;2. Division of Cardiology, Toronto General Hospital, University Health Network, Toronto, ON, Canada |
| 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 transcatheter aortic valve replacement echocardiography intraoperative transesophageal echocardiography left atrial appendage thrombus three dimesional transesophageal |