Don’t Trust the Imaging

Mesenteric ischemia is a rare but lethal complication of transcatheter aortic valve replacement (TAVR). We present a challenging case of an 80-year-old man who had abdominal pain few hours following TAVR. Repeated abdominal and pelvic imaging showed no vascular obstruction, but exploratory laparosco...

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Bibliographic Details
Published in:JACC. Case reports 2020-12, Vol.2 (15), p.2339-2343
Main Authors: Abu-Much, Arsalan, Barbash, Israel M., Guetta, Victor, Segev, Amit, Fefer, Paul, Matetzky, Shlomi, Nissan, Noam, Maor, Elad
Format: Article
Language:English
Subjects:
aortic valve
complication
necrosis
stenosis
thrombosis
thrombus
valve replacement
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Summary:Mesenteric ischemia is a rare but lethal complication of transcatheter aortic valve replacement (TAVR). We present a challenging case of an 80-year-old man who had abdominal pain few hours following TAVR. Repeated abdominal and pelvic imaging showed no vascular obstruction, but exploratory laparoscopy revealed a necrotic bowel. (Level of Difficulty: Intermediate.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.10.023