Chronic aortic sub-adventitial hematoma following supra-annular TAVR

Abstract

We describe a case of sub-adventitial hematoma of the ascending aorta at the level of the crown of supra-annular TAVR presenting 4 months post procedure. Acute aortic syndromes following TAVR portend grave prognosis and warrant emergent reconstructive surgery. However, the less known, chronic aortic complications may have an indolent presentation. Our patient underwent aortic reconstructive surgery with TAVR explant and bio-prosthetic AVR implantation and had a favorable outcome.