Transcatheter Aortic Valve Implantation via the Right Subclavian Artery for Chronic Type A Aortic Dissection.
1/5 보강
PICO 자동 추출 (휴리스틱, conf 3/4)
유사 논문P · Population 대상 환자/모집단
환자: chronic type A aortic dissection (CTAAD) is rare, and the optimal strategy remains undefined
I · Intervention 중재 / 시술
preprocedural computed tomography for TAVI before scheduled gastric cancer surgery, revealing CTAAD
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
Therefore, using a balloon-expandable valve via the right subclavian artery represents a favorable strategy for TAVI in patients with CTAAD. [TAKE-HOME MESSAGE] TAVI using a balloon-expandable valve via the right subclavian artery is an effective strategy for managing complex cases involving CTAAD.
[BACKGROUND] Transcatheter aortic valve implantation (TAVI) in patients with chronic type A aortic dissection (CTAAD) is rare, and the optimal strategy remains undefined.
APA
Hori Y, Arai T, et al. (2025). Transcatheter Aortic Valve Implantation via the Right Subclavian Artery for Chronic Type A Aortic Dissection.. JACC. Case reports, 30(21), 104430. https://doi.org/10.1016/j.jaccas.2025.104430
MLA
Hori Y, et al.. "Transcatheter Aortic Valve Implantation via the Right Subclavian Artery for Chronic Type A Aortic Dissection.." JACC. Case reports, vol. 30, no. 21, 2025, pp. 104430.
PMID
40750157
Abstract
[BACKGROUND] Transcatheter aortic valve implantation (TAVI) in patients with chronic type A aortic dissection (CTAAD) is rare, and the optimal strategy remains undefined.
[CASE SUMMARY] An 86-year-old woman with symptomatic severe aortic stenosis underwent preprocedural computed tomography for TAVI before scheduled gastric cancer surgery, revealing CTAAD. To avoid the dissection flap, the right subclavian artery was selected as the access route, and a balloon-expandable valve was successfully implanted.
[DISCUSSION] The dissection cavity was located along the outer curvature of the ascending aorta. The right subclavian artery approach allowed effective avoidance of the dissection cavity. Balloon-expandable valves are less likely to interact with the dissection flap. Therefore, using a balloon-expandable valve via the right subclavian artery represents a favorable strategy for TAVI in patients with CTAAD.
[TAKE-HOME MESSAGE] TAVI using a balloon-expandable valve via the right subclavian artery is an effective strategy for managing complex cases involving CTAAD.
[CASE SUMMARY] An 86-year-old woman with symptomatic severe aortic stenosis underwent preprocedural computed tomography for TAVI before scheduled gastric cancer surgery, revealing CTAAD. To avoid the dissection flap, the right subclavian artery was selected as the access route, and a balloon-expandable valve was successfully implanted.
[DISCUSSION] The dissection cavity was located along the outer curvature of the ascending aorta. The right subclavian artery approach allowed effective avoidance of the dissection cavity. Balloon-expandable valves are less likely to interact with the dissection flap. Therefore, using a balloon-expandable valve via the right subclavian artery represents a favorable strategy for TAVI in patients with CTAAD.
[TAKE-HOME MESSAGE] TAVI using a balloon-expandable valve via the right subclavian artery is an effective strategy for managing complex cases involving CTAAD.