Published in:
01-08-2014 | Critical Perspective
Contained aortic annulus rupture with persisting false aneurysm after transfemoral transcatheter aortic valve implantation
Authors:
Stephanie Egenrieder, Stephan Hill, Maik Backes, Matthias Vöhringer, Udo Sechtem
Published in:
Clinical Research in Cardiology
|
Issue 8/2014
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Abstract
With older age and increasing comorbidities, conventional operative procedures for severe symptomatic aortic stenosis are associated with a high surgical risk. To date, transfemoral transcatheter aortic valve implantation (TF-TAVI) represents an accepted alternative method of intervention with a cardiovascular and all-cause mortality similar to operative replacement at early and long-term follow-up in this high risk population (Thomas et al., Circulation 124:425–433,
2011). Despite growing experience of the operators and improvement of the devices procedural and perioperative complications still occur (Panchal et al., Am J Cardiol,
2013). Aortic annulus rupture as well as the rupture of the membranous ventricular septum has been reported (Aminian et al., Catheter Cardiovasc Interv 81:E72–E75,
2013). We present the unusual case of an 80-year-old female who developed a false aneurysm following a contained aortic annulus rupture during a TF-TAVI procedure.