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Complications
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10.3390/complications1020007
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Case Report

Staged Hybrid Treatment of Acute Type B Complicated Aortic and External Iliac Artery Dissection and Femoral Occlusion after Transcatheter Aortic Valve Implantation

by
Hernando Thorne-Vélez
1,*,
Axel Tolstano Gleiser
2,
Isaac Mendoza Morales
3,
Ana Maria Thorne-Velez
4,
Natalia Penaloza Barrios
5,
Manuela Jaramillo Vasquez
1 and
William Daza Reatiga
6
1
Independent Researcher, Barranquilla 080001, Colombia
2
Clínica General del Norte, Barranquilla 080001, Colombia
3
Faculty of Medicine, Universidad Metropolitana, Ciencias de la Salud, Barranquilla 080001, Colombia
4
Independent Researcher, Cartagena 130001, Colombia
5
Centro Hospitalario Serena del Mar, Cartagena 130001, Colombia
6
Clínica Porto Azul AUNA, Barranquilla 080001, Colombia
*
Author to whom correspondence should be addressed.
Complications 2024, 1(2), 37-42; https://doi.org/10.3390/complications1020007
Submission received: 30 June 2024 / Revised: 15 August 2024 / Accepted: 21 August 2024 / Published: 26 August 2024
(This article belongs to the Special Issue Preventing and Managing Surgical Complications: Perspectives from Surgeons)
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Abstract

Percutaneous aortic valve replacement (TAVI) has become the treatment of choice for elderly patients with severe aortic valve stenosis because of its less invasive nature compared to surgery. As TAVI is increasingly offered, issues such as vascular lesions, access site problems, paravalvular leaks, and aortic dissection (AD) are a few associated complications, needing consideration. AD after TAVI is rare but serious, occurring in 0.2% to 0.3% of cases, with both intraprocedural and late cases reported. This case study concerns a 68-year-old woman who developed Stanford B AD, external iliac artery dissection, and right common femoral artery occlusion after TAVI. Treatment included the stenting of the iliac and common femoral arteries, followed by a staged procedure: debranching, thoracic endovascular aortic repair (TEVAR), and endovascular aneurysm repair (EVAR), with satisfactory results. This case underscores the importance of vigilance in the management of TAVI-related complications to optimize patient care and outcomes.
Keywords: vascular surgical procedures; aortic dissection; postoperative complications vascular surgical procedures; aortic dissection; postoperative complications

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MDPI and ACS Style

Thorne-Vélez, H.; Tolstano Gleiser, A.; Morales, I.M.; Thorne-Velez, A.M.; Penaloza Barrios, N.; Vasquez, M.J.; Daza Reatiga, W. Staged Hybrid Treatment of Acute Type B Complicated Aortic and External Iliac Artery Dissection and Femoral Occlusion after Transcatheter Aortic Valve Implantation. Complications 2024, 1, 37-42. https://doi.org/10.3390/complications1020007

AMA Style

Thorne-Vélez H, Tolstano Gleiser A, Morales IM, Thorne-Velez AM, Penaloza Barrios N, Vasquez MJ, Daza Reatiga W. Staged Hybrid Treatment of Acute Type B Complicated Aortic and External Iliac Artery Dissection and Femoral Occlusion after Transcatheter Aortic Valve Implantation. Complications. 2024; 1(2):37-42. https://doi.org/10.3390/complications1020007

Chicago/Turabian Style

Thorne-Vélez, Hernando, Axel Tolstano Gleiser, Isaac Mendoza Morales, Ana Maria Thorne-Velez, Natalia Penaloza Barrios, Manuela Jaramillo Vasquez, and William Daza Reatiga. 2024. "Staged Hybrid Treatment of Acute Type B Complicated Aortic and External Iliac Artery Dissection and Femoral Occlusion after Transcatheter Aortic Valve Implantation" Complications 1, no. 2: 37-42. https://doi.org/10.3390/complications1020007

APA Style

Thorne-Vélez, H., Tolstano Gleiser, A., Morales, I. M., Thorne-Velez, A. M., Penaloza Barrios, N., Vasquez, M. J., & Daza Reatiga, W. (2024). Staged Hybrid Treatment of Acute Type B Complicated Aortic and External Iliac Artery Dissection and Femoral Occlusion after Transcatheter Aortic Valve Implantation. Complications, 1(2), 37-42. https://doi.org/10.3390/complications1020007

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