Plug Closure for Ascending Aortic Pseudoaneurysms After TAVI Using Self-Expandable Valve.

A 90-year-old man received a diagnosis of ascending aortic pseudoaneurysms after transcatheter aortic valve implantation (TAVI) using an Evolut PRO valve (Medtronic). Plug closure of the pseudoaneurysms was successfully performed, and the symptoms improved after the procedure. However, on postoperative day 4, the patient experienced sudden massive hemoptysis and died. Although there are a few reports of successful plug closure of ascending aortic pseudoaneurysms after TAVI, it may be difficult to achieve control of pseudoaneurysms by plug closure alone.