JACC: Case Reports (Dec 2020)

Don’t Trust the Imaging

  • Arsalan Abu-Much, MD,
  • Israel M. Barbash, MD,
  • Victor Guetta, MD,
  • Amit Segev, MD,
  • Paul Fefer, MD,
  • Shlomi Matetzky, MD,
  • Noam Nissan, MD, PhD,
  • Elad Maor, MD, PhD

Journal volume & issue
Vol. 2, no. 15
pp. 2339 – 2343

Abstract

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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.)

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