Catching a floating thrombus; a case report on the treatment of a large thrombus in the ascending aorta

This study presents a case of a successful severed femoral sheath recapture during transfemoral transcatheter aortic valve replacement (TAVR). During skin tunneling with a scalpel, the discontinuity of the femoral sheath occurred. Grasping of the distal sheath with the surgical hemostat was attempted unsuccessfully. A proximal part of the severed sheath was removed and Medtronic Sentrant introducer sheath (14 French) was then placed over the existing Confida wire which permanently remained in position, followed by the introduction of the Amplatz Left 2 (AL2) catheter which pushed the severed sheath in the ascending aorta over the Confida wire. The crucial maneuver was the entanglement of the severed sheath in the aortic non-coronary cusp which allowed for its entrapment by the AL2 catheter. This allowed for the coronary guidewire BMW Universal (0.014”) placement and a slow balloon retrieval (SeQuent NEO 2.5 x 25 mm) of the severed sheath into the introducer sheath. The guidewire/balloon catheter was then exchanged for the support wire (0.035”) followed by the removal of the introducer sheath, AL2 catheter and the severed sheath. In conclusion, sheath severing is a complex accidental event during TAVR, which can be solved by intra-aortic recapture and retraction.

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Mycotic aneurysm of the ascending aorta due to Escherichia coli: a case report

Acta Cardiologica ◽

10.1080/00015385.2021.1973774 ◽

2021 ◽

pp. 1-4

Author(s):

Ines Zekhnini ◽

Danae Halleux ◽

Rodolphe Durieux ◽

Jean Olivier Defraigne ◽

Marc Radermecker ◽

...

Keyword(s):

Escherichia Coli ◽

Case Report ◽

Mycotic Aneurysm ◽

Ascending Aorta

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Diagnostic Difficulties of Neurological Complications After Surgical Treatment of Acute Ascending Aorta Disection - A Case Report

Polish Journal of Surgery ◽

10.2478/v10035-011-0016-6 ◽

2011 ◽

Vol 83 (2) ◽

Author(s):

Krzysztof Olszewski ◽

Janusz Stążka ◽

Elżbieta Krawczyk ◽

Michał Kozłowicz

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Neurological Complications ◽

Ascending Aorta ◽

Diagnostic Difficulties

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Rupture of the ascending aorta after surgical resection for lung cancer —A case report—

The Japanese Journal of Surgery ◽

10.1007/bf02470980 ◽

1991 ◽

Vol 21 (4) ◽

pp. 476-479 ◽

Cited By ~ 4

Author(s):

Masami Morimoto ◽

Masahiko Ohashi ◽

Hidemasa Nobara ◽

Yukio Fukaya ◽

Masayuki Haniuda ◽

...

Keyword(s):

Lung Cancer ◽

Case Report ◽

Surgical Resection ◽

Ascending Aorta

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ASCENDING AORTIC ANEURYSM – A CASE REPORT

Journal Of Healthcare In Developing Countries ◽

10.26480/jhcdc.03.2021.54.55 ◽

2020 ◽

Vol 1 (3) ◽

pp. 54-55

Author(s):

Prathap Kumar. J.

Keyword(s):

Abdominal Aortic Aneurysm ◽

Case Report ◽

Aortic Aneurysm ◽

Ascending Aorta ◽

Leg Pain ◽

Ultrasound Screening ◽

Ascending Aortic Aneurysm ◽

Risk Of Mortality ◽

Abdominal Aortic ◽

Life Threatening

An aortic aneurysm is an abnormal dilation of the aorta to greater than 1.5 times its normal size. They usually cause no symptoms except when ruptured. Occasionally, there may be symptoms like abdominal, back, or leg pain. They are most commonly located in the abdominal aorta, but can also be located in the thoracic aorta, rarely in arch of aorta. Abdominal aortic aneurysm is more common in men, a disease that is often asymptomatic and has up to a 90% risk of mortality if the aneurysm ruptures. It can be easily diagnosed by an ultrasound screening, and if the aneurysm is > 5.5 cm, it can be surgically repaired to prevent a life-threatening rupture. Aneurysm of the ascending aorta is rare but can be easily diagnosed by echocardiogram.

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