Key result
Single percutaneous procedure successfully repairs both VSD and PAR following TAVI.
Case Report (n=1)
This case demonstrates the feasibility of treating both a post-TAVI ventricular septal defect and paravalvular regurgitation simultaneously via a single percutaneous procedure.
INTRODUCTION: Transcatheter aortic valve implantation (TAVI) is a well-accepted alternative treatment for intermediate or high-risk patients with symptomatic severe native aortic valve stenosis. As the use of TAVI increases, there is a continuous growing insight into in the technical possibilities of the procedure and a parallel decrease in complications. A serious but rare complication of TAVI is a ventricular septal defect (VSD). CASE PRESENTATION: We report a case of a 90-year-old woman who underwent an uncomplicated TAVI procedure. She was readmitted within 2 weeks because of dyspnoea and oedema in the legs caused by acute left- and right-sided heart failure. Echocardiography showed a VSD of 1 cm, and mild to moderate paravalvular aortic regurgitation (PAR). DISCUSSION: This is the first report in which post-TAVI both a VSD and PAR are successfully repaired via a single percutaneous procedure.
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Kooistra et al. (2018) conducted a case report in Ventricular septal defect and paravalvular aortic regurgitation post-TAVI (n=1). Percutaneous closure was evaluated on Successful repair. Percutaneous closure successfully repaired both a ventricular septal defect and paravalvular aortic regurgitation in a single procedure following TAVI.
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