Summary
Annular rupture presents a rare but potentially fatal complication of transcatheter aortic valve implantation (TAVI). Although it can be subtle and subclinical in presentation, most severe forms present with hemodynamic instability and represent true emergencies requiring a more invasive treatment, even conventional surgery. We present a case of successful treatment of annular rupture by left ventricular outflow tract patch and surgical aortic valve replacement.
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References
Walther T, Webb JG, Schuler G, et al. Perioperative results and complications of 15964 transcatheter aortic valve replacements: prospective data from the GARY registry. J Am Coll Cardiol. 2015;65(20):2173–80.
Lange R, Bleiziffer S, Piazza N, et al. Incidence and treatment of procedural cardiovascular complications associated with trans-arterial and trans-apical interventional aortic valve implantation in 412 consecutive patients. Eur J Cardiothorac Surg. 2011;40(5):1005–13.
Rezq A, Basavarajaiah S, Latib A, et al. Incidence, management, and outcomes of cardiac tamponade during transcatheter aortic valve implantation: A single-center study. J Am Coll Cardiol Intv. 2012;5(12):1264–72.
Wu Y, Vallely M, Ng MKC. Valve-in-valve implantation for aortic annular rupture complicating transcatheter aortic valve replacement (TAVR). J Invasive Cardiol. 2013;25(8):409–10.
Pasic M, Unbehaun A, Buz S, Drews T, Hetzer R. Annular rupture during transcatheter aortic valve replacement: classification, pathophysiology, diagnostics, treatment approaches and prevention. JACC Cardiovasc Interv. 2015;8(1):1–9.
Barbanti M, Yang T‑H, Rodes Cabau J, et al. Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement. Circulation. 2013;128(3):244–53.
Pasic M, Unbehaun A, Dreysse S, et al. Rupture of the device landing zone during transcatheter aortic valve implantation. A life-threatening but treatable complication. Circ Cardiovasc Interv. 2012;5(3):424–32.
Tommaso CL, Bolman RM 3rd, Feldman T, et al. Multisociety (AATS, ACCF, SCAI, and STS) expert consensus statement: operator and institutional requirements for transcatheter valve repair and replacement, Part 1: transcatheter aortic valve replacement. Ann Thorac Surg. 2012;93(6):2093–110.
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D. Unic, Z. Sutlic, B. Starcevic, N. Bradic, D. Baric, and I. Rudez declare that they have no competing interests.
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Unic, D., Sutlic, Z., Starcevic, B. et al. Successful treatment of annular rupture during transcatheter aortic valve implantation. Wien Klin Wochenschr 129, 284–286 (2017). https://doi.org/10.1007/s00508-016-1102-x
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DOI: https://doi.org/10.1007/s00508-016-1102-x