Marc Bonnet, Lionel Mangin, Nathanael Frank Bayard, Sébastien Gerelli, Brahim Harbaoui
{"title":"Aortic Wall Thrombus and Stroke After Transfemoral TAVR.","authors":"Marc Bonnet, Lionel Mangin, Nathanael Frank Bayard, Sébastien Gerelli, Brahim Harbaoui","doi":"10.1002/ccd.31475","DOIUrl":null,"url":null,"abstract":"<p><p>We present the case of a patient with significant aortic wall thrombus (AWT) who experienced a stroke after transfemoral TAVR. FLAIR MRI revealed an embolic shower. Pre- and postoperative computed tomography showed dislodgment of the AWT located in the outer curvature of the aortic arch after TAVR. This case supports the hypothesis that AWT may cause stroke by being dislodged and carried upstream toward the carotid arteries.</p>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Catheterization and Cardiovascular Interventions","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ccd.31475","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
We present the case of a patient with significant aortic wall thrombus (AWT) who experienced a stroke after transfemoral TAVR. FLAIR MRI revealed an embolic shower. Pre- and postoperative computed tomography showed dislodgment of the AWT located in the outer curvature of the aortic arch after TAVR. This case supports the hypothesis that AWT may cause stroke by being dislodged and carried upstream toward the carotid arteries.
期刊介绍:
Catheterization and Cardiovascular Interventions is an international journal covering the broad field of cardiovascular diseases. Subject material includes basic and clinical information that is derived from or related to invasive and interventional coronary or peripheral vascular techniques. The journal focuses on material that will be of immediate practical value to physicians providing patient care in the clinical laboratory setting. To accomplish this, the journal publishes Preliminary Reports and Work In Progress articles that complement the traditional Original Studies, Case Reports, and Comprehensive Reviews. Perspective and insight concerning controversial subjects and evolving technologies are provided regularly through Editorial Commentaries furnished by members of the Editorial Board and other experts. Articles are subject to double-blind peer review and complete editorial evaluation prior to any decision regarding acceptability.