An aortic pseudoaneurysm developed after TAVI and grew significantly over 10 months, requiring complex aortic root surgery and demonstrating the need for close follow-up with appropriate imaging.
Case Report (n=1)
Iatrogenic aortic annulus rupture after TAVI requires close follow-up with appropriate imaging techniques to monitor for pseudoaneurysm growth.
We present the case of a patient who underwent transcatheter aortic valve implantation and subsequently developed an aortic pseudoaneurysm. During follow-up, the patient appeared clinically and radiologically stable, although the imaging modalities employed were not adequate to fully assess the lesion. Ten months later, a thoracoabdominal computed tomography scan performed for an unrelated reason revealed significant pseudoaneurysm growth, and the patient subsequently underwent complex aortic root surgery. Central Message: Different degrees of iatrogenic aortic annulus rupture after TAVI lead to different therapeutic approaches; once the acute phase is over it requires close follow-up with appropriate imaging techniques.
Villarreal-Soto et al. (Sun,) conducted a case report in Aortic pseudoaneurysm after transcatheter aortic valve implantation (n=1). Complex aortic root surgery was evaluated. An aortic pseudoaneurysm developed after TAVI and grew significantly over 10 months, requiring complex aortic root surgery and demonstrating the need for close follow-up with appropriate imaging.
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