6533b86cfe1ef96bd12c82bc

RESEARCH PRODUCT

“Unlucky punch”: unexpected annular rupture during TAVR and successful treatment

Alexander R TammRalph Stephan Von BardelebenAndres Beiras-fernandezMartin GeyerBoris SchnorbusAngela KornbergerThomas MünzelDaniel‐s. Dohle

subject

medicine.medical_specialtymedicine.medical_treatmentComputed tomographyProsthesis DesignProsthesisTranscatheter Aortic Valve ReplacementHumansMedicineRadiology Nuclear Medicine and imagingcardiovascular diseasesRisk factorHeart Valve Prosthesis Implantationmedicine.diagnostic_testbusiness.industryCalcinosisAortic Valve Stenosisequipment and suppliesmedicine.diseaseTreatment OutcomeAortic ValveHeart Valve Prosthesiscardiovascular systemsense organsRadiologyTomography X-Ray ComputedCardiology and Cardiovascular MedicineComplicationbusinessCalcification

description

Although rare, annular rupture in TAVR is a feared and often unpredictable complication with relevant impact on in-hospital prognosis. Severe annular calcification is a common risk factor for annular rupture. We report on a case of annular rupture during TAVR with a balloon-expanded prosthesis in the absence of any annular calcification in the planning CT scan and illustrate the proposed pathomechanism as well as its successful immediate surgical management.

yearjournalcountryeditionlanguage
2021-03-04Echocardiography
https://doi.org/10.1111/echo.15024