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Figure 6 Periaortic Hematoma After Attempted PHV Deployment

Periaortic hematoma as a result of rupture of the lower descending thoracic aorta is an unusual complication of PHV deployment. In this instance the patient became hypotensive as the PHV assembly was being advanced through the abdominal and lower thoracic aorta. Contrast injection showed extravasation of dye, after which TEE was used to identify peri-aortic hematoma. Abbreviations as in Figure 1.