Why the study?
Repair of annular rupture post-transcatheter aortic valve replacement in patients with previous CABG is undercharacterized and presents unique challenges as an emergent reoperative case.
This case demonstrates the feasibility of successful surgical repair of transannular rupture following TAVR in a high-risk patient with prior CABG.
Highlights management challenges of annular rupture post-TAVR in prior CABG patients; leaves optimal strategies open for larger series.
Annular rupture occurs in approximately 1% of transcatheter aortic valve replacement cases. Annular rupture often requires surgical management and is associated with high mortality. Repair of annular rupture in patients with previous coronary artery bypass grafting (CABG) is undercharacterized and poses a unique challenge given the increased difficulty and complexity from both an emergent and reoperative case. An 80-year-old male with previous CABG experienced annular rupture post-transcatheter aortic valve replacement requiring urgent surgical management. This case illustrates the successful repair of a rare and high-risk complication describing the approach utilized in correcting annular rupture in a patient with previous CABG.
No takes yet. Share an insight, caveat, or question.
EL‐Andari et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: