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Title
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Intercostal artery pseudoaneurysm : a rare complication of transaortic transcatheter aortic valve implantation
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Author
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Abstract
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| In this case report, we present an 86-year old patient with an intercostal pseudoaneurysm after transaortic transcatheter aortic valve implantation (TAVI). This new technique of a transaortic approach is considered a possible alternative to the more usual transfemoral, trans-subclavian or transapical access site, mainly in patients with extensive peripheral arterial disease. A mini-thoracotomy or mini-sternotomy is needed to access the ascending aorta. The patient presented with a painless but progressive pulsatile mass right parasternally, 3 months after the procedure. An intercostal pseudoaneurysm was diagnosed with duplex examination and chest CT. Successful treatment with an ultrasound-guided injection of thrombin resulted in a complete obliteration of the pseudoaneurysm. Only nine reported cases of intercostal pseudoaneurysms have been reported worldwide, and this is the first case in a patient who underwent a transaortic TAVI. Since the transaortic access is used more frequently, it is important to report on possible complications of this new technique. |
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Language
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English
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Source (journal)
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Interactive cardiovascular and thoracic surgery. - Amsterdam
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Publication
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Amsterdam
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2012
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ISSN
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1569-9293
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DOI
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10.1093/ICVTS/IVS188
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Volume/pages
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15
:3
(2012)
, p. 550-552
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ISI
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000310175900059
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Full text (Publisher's DOI)
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Full text (open access)
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