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April 16, 2026JACC Case Reports0 citationsOpen Access

Transapical TAVR in Native Aortic Regurgitation With Chronic Type A Dissection

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WLW J LiuMXMeiling XuYLYanchao Li

Key Result

Transapical TAVR may provide a mechanism-based rescue strategy for nonsurgical patients with severe native aortic regurgitation and chronic type A dissection by avoiding arch manipulation.

Key Points

  • The aim is to evaluate the effectiveness of transapical TAVR in treating severe native aortic regurgitation in patients with chronic type A dissection.
  • Selected nonsurgical patients with severe native aortic regurgitation and localized chronic type A dissection
  • Utilization of transapical TAVR technique
  • Focus on avoiding arch manipulation
  • Transapical TAVR successfully addresses severe native aortic regurgitation
  • Allows for controlled valve deployment
  • Could serve as a rescue strategy for challenging cases

Structured PICO

Does transapical TAVR provide a viable rescue strategy in nonsurgical patients with severe native aortic regurgitation and localized chronic type A dissection?

P
Population
Nonsurgical patients with severe native aortic regurgitation (AR) and localized chronic type A dissection
I
Intervention
Transapical transcatheter aortic valve replacement (TAVR)

Transapical TAVR may be a feasible rescue strategy for nonsurgical patients with severe native aortic regurgitation and chronic type A dissection by avoiding arch manipulation.

Abstract

In carefully selected nonsurgical patients with severe native AR and localized chronic type A dissection, transapical TAVR may represent a mechanism-based rescue strategy by avoiding arch manipulation and enabling controlled valve deployment.

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Cite This Study

Liu et al. (2026) studied this question. Transapical TAVR may provide a mechanism-based rescue strategy for nonsurgical patients with severe native aortic regurgitation and chronic type A dissection by avoiding arch manipulation.

synapsesocial.com/papers/69e07cc02f7e8953b7cbddedhttps://doi.org/10.1016/j.jaccas.2026.107820
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transapical TAVI in chronic type A dissection2022 · 3 citations
  2. 2Transfemoral TAVR in Chronic Type A Aortic Dissection and Severe Aortic Stenosis2026
  3. 3Transcatheter Aortic Valve Implantation in Complex Aortic Pathology: Managing Aortic Regurgitation With Chronic Dissection and Previous Endovascular Repair.2026
  4. 4High-Risk Valve-in-Valve TAVR With Chronic Type B Aortic Dissection2026
  5. 5Transcatheter Aortic Valve Replacement in Pure Native Aortic Valve Regurgitation: Challenging Pathology Awaiting Specialized Devices2021 · 6 citations