Percutaneous Management of Aortic Root Rupture After Balloon-Expandable TAVR

Figure 1. Baseline Studies of the Patient, Deployment of the Valve Where the Rupture of the Aortic Root Occurs and Percutaneous Treatment of the Complication (A) Transthoracic echocardiogram, showing data compatible with severe aortic stenosis. (B) Computerized angiography showing severe calcification at the level of the sinuses of Valsalva, as well as a poorly calcified aortic annulus with valid measurements for percutaneous prosthesis implantation (372 mm2). (C) Deployment of the SAPIEN 3 ULTRA 23-mm aortic prosthesis. (D) Aortic annulus rupture with contrast leakage into the pericardial space (red arrow). (E) Aortography showing the vascular closure device (Amplatzer vascular plug IV 8 × 13.5 mm) correctly positioned, without contrast leakage into the pericardial space (white arrow).