{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T19:05:34Z","timestamp":1787684734095,"version":"build-2784847793"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T00:00:00Z","timestamp":1629244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Late Stanford type A aortic dissections (TAADs) are a very rare complication after transcatheter aortic valve implantation (TAVI). Surgery is the treatment of choice, but perioperative mortality (25%) and neurological complications (18%) remain high.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>An 85-year-old male patient presented with acute chest pain 5 months after a transfemoral Evolut R 34 mm transcatheter heart valve (THV) implantation. On multi-slice computed tomography (MSCT) a TAAD was found with a 7 mm primary entry at the supra-annular aortic edge of the THV expanding to the innominate artery without re-entry. Due to extensive comorbidities including two bypass operations in the history, the Heart Team declined surgery. Within 6 months of watchful waiting the maximal aortic diameter (MAD) increased from 57 to 62 mm. The decision was made to perform an endovascular closure of the inflow to the false lumen by implanting a 25 mm Amplatzer\u2122 Cribriform Septal Occluder. MSCT 4 weeks after occlusion showed the false lumen almost completely filled with thrombus, MSCT 3 months later showed a MAD reduction to 55 mm with shrinkage of the false lumen.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Presumably, the late TAAD was caused by the supra-annular edge of the Evolut-stent. Because of the extreme risk surgical repair was not an option and a stent graft would have occluded the vein grafts. This case shows that in absence of any other treatment options endovascular closure of the entry to the false lumen can be successfully performed in a TAAD after TAVI.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab343","type":"journal-article","created":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T15:44:45Z","timestamp":1629301485000},"source":"Crossref","is-referenced-by-count":4,"title":["Endovascular entry closure of a late type A aortic dissection after implantation of a self-expanding transcatheter heart valve (Evolut R): a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7284-5473","authenticated-orcid":false,"given":"Christina","family":"Brinkmann","sequence":"first","affiliation":[{"name":"MVZ-Department Structural Heart Disease, Asklepios Clinic St. Georg, Lohm\u00fchlenstra\u00dfe 520099 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Koeppel","sequence":"additional","affiliation":[{"name":"Department for Vascular Surgery, Asklepios Clinic St. Georg, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Schofer","sequence":"additional","affiliation":[{"name":"MVZ-Department Structural Heart Disease, Asklepios Clinic St. Georg, Lohm\u00fchlenstra\u00dfe 520099 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,8,18]]},"reference":[{"key":"2021090405505496100_ytab343-B1","doi-asserted-by":"crossref","first-page":"2455","DOI":"10.1016\/j.jacc.2011.06.067","article-title":"Evidence, lack of evidence, controversy, and debate in the provision and performance of the surgery of acute type A aortic dissection","volume":"58","author":"Bonser","year":"2011","journal-title":"J Am Coll Cardiol"},{"key":"2021090405505496100_ytab343-B2","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1093\/eurheartj\/ehi024","article-title":"Early and late outcomes of acute type A aortic dissection: analysis of risk factors in 487 consecutive patients","volume":"26","author":"Chiappini","year":"2005","journal-title":"Eur Heart J"},{"key":"2021090405505496100_ytab343-B3","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1161\/CIRCULATIONAHA.109.907402","article-title":"Thirty-day results of the SAPIEN aortic Bioprosthesis European Outcome (SOURCE) Registry: a European registry of transcatheter aortic valve implantation using the Edwards SAPIEN valve","volume":"122","author":"Thomas","year":"2010","journal-title":"Circulation"},{"key":"2021090405505496100_ytab343-B4","doi-asserted-by":"crossref","first-page":"e004735","DOI":"10.1161\/CIRCINTERVENTIONS.116.004735","article-title":"Injuries to the aorta, aortic annulus, and left ventricle during transcatheter aortic valve replacement","volume":"10","author":"Langer","year":"2017","journal-title":"Circ Cardiovasc Interv"},{"key":"2021090405505496100_ytab343-B5","first-page":"2873","article-title":"ESC Guidelines on the diagnosis and treatment of aortic diseases","volume":"35","year":"2014","journal-title":"Eur Heart J"},{"key":"2021090405505496100_ytab343-B6","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1016\/j.jaccas.2019.12.050","article-title":"Late type A dissection after transfemoral aortic valve replacement","volume":"2","author":"Pontious","year":"2020","journal-title":"JACC Case Rep"},{"key":"2021090405505496100_ytab343-B7","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1016\/j.athoracsur.2014.11.077","article-title":"Endovascular repair for type A aortic dissection after transcatheter aortic valve replacement with a Medtronic CoreValve","volume":"100","author":"Berfield","year":"2015","journal-title":"Ann Thorac Surg"},{"issue":"Suppl 2","key":"2021090405505496100_ytab343-B8","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s00270-010-9872-4","article-title":"Successful occlusion of a ruptured aortic aneurysm using the Amplatzer Vascular Plug: a technical note","volume":"34","author":"Zander","year":"2011","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2021090405505496100_ytab343-B9","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.jvs.2010.02.005","article-title":"Transcatheter closure of recurrent aortic pseudoaneurysm previously treated by Amplatzer occlude device","volume":"52","author":"Hussain","year":"2010","journal-title":"J Vasc Surg"}],"container-title":["European Heart Journal - 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