The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

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How should I treat acute aortic annulus rupture during transcatheter aortic valve implantation?

EuroIntervention 2013;8:1103-1109. DOI: 10.4244/EIJV8I9A169

1. Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands; 2. Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium; 3. Department of Cardiothoracic Surgery, Leiden University Medical Cen
CASE SUMMARY

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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