ArticleJournal of vascular surgery cases and innovative techniques2026
Thoracic endovascular aortic repair for iatrogenic descending aortic pseudoaneurysm after aborted transcatheter aortic valve implantation.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Iatrogenic aortic injury is a rare but life-threatening complication of transcatheter aortic valve implantation (TAVI). Descending thoracic aortic pseudoaneurysms are particularly uncommon and challenging to manage. We report an 88-year-old woman with prior type A dissection treated with a Bentall procedure and Carpentier-Edwards Perimount bioprosthesis, who developed severe valve stenosis. An initial transfemoral TAVI failed due to unfavorable descending thoracic aortic anatomy. One year later, angiography revealed a descending thoracic aortic pseudoaneurysm, which was likely related to the prior procedure. Given the high surgical risk, staged management was performed: thoracic endovascular aortic repair followed by successful transapical valve-in-valve TAVI.
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