BACKGROUND: An 81-year-old woman with symptomatic severe aortic stenosis and significant comorbidities was selected for transcatheter aortic valve implantation (TAVI).
INVESTIGATION: Transoesophageal echocardiography, multidetector row computed tomography, angiography.
DIAGNOSIS: Cardiac tamponade due to acute aortic annulus rupture during TAVI using an Edwards SAPIEN XT® prosthesis.
MANAGEMENT: Pericardiocentesis and valve-in-valve bailout procedure.
KEYWORDS: annulus rupture, aortic stenosis, complication, TAVI, valve-in-valve.
PRESENTATION OF THE CASE
An 81-year-old female patient with symptomatic degenerative severe aortic stenosis (indexed aortic valve area 0.4 cm2/m2, mean pressure gradient 43 mmHg) was selected for TAVI by the heart team ...
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