Key result
Transcatheter aortic valve implantation using an Edwards Sapien prosthesis was associated with an unusual case of late contained rupture of the aortic annulus and a ventricular septal defect.
Case Report (n=1)
Highlights a rare but severe late complication (aortic root rupture and ventricular septal defect) following TAVI with an Edwards Sapien prosthesis.
Warrants vigilance for late annular rupture after Sapien TAVI; leaves open incidence and risk factors in larger cohorts.
Transcatheter aortic valve implantation (TAVI) is a highly specialized technique offering a new therapeutic option to patients at high risk for conventional surgery. However, despite continuous improvements in operators' expertise and device technology, complications associated with this catheter procedure are not uncommon. We report an unusual case of late contained rupture of the aortic annulus, combining a para-aortic false aneurysm and a ventricular septal defect, after the placement of an Edwards Sapien prosthesis.
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Aminian et al. (2012) conducted a case report in Aortic root rupture and ventricular septal defect after TAVI (n=1). Transcatheter aortic valve implantation (TAVI) with Edwards Sapien prosthesis was evaluated. Transcatheter aortic valve implantation using an Edwards Sapien prosthesis was associated with an unusual case of late contained rupture of the aortic annulus and a ventricular septal defect.
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