Key result
Direct aortic TAVR can lead to cardiac tamponade requiring surgical exploration and repair.
Why the study?
TAVR using a transaortic approach can cause serious complications such as cardiac tamponade, which requires multidisciplinary management.
Case Report (n=1)
This case highlights cardiac tamponade as a potential serious complication of the transaortic approach for TAVR, emphasizing the need for multidisciplinary management.
Clinicians should anticipate tamponade risk in transaortic TAVR; case report leaves open true incidence and prevention strategies.
Transcatheter aortic valve replacement (TAVR) is considered an option for patients with severe aortic stenosis who are not surgical candidates. We describe the case of a patient who presented with cardiac tamponade shortly after uneventful TAVR by a direct aortic approach. The patient was brought to the operating room for exploration and repair. Although TAVR is less invasive than traditional open aortic valve replacement, TAVR nonetheless poses serious risk. This case highlights a potential complication of the less commonly used transaortic approach for TAVR and the importance of taking a multidisciplinary approach when identifying and managing all TAVR-associated complications.
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Wang et al. (2014) conducted a case report in Severe aortic stenosis (n=1). Transcatheter aortic valve replacement (TAVR) using a transaortic approach was evaluated on Cardiac tamponade. Transcatheter aortic valve replacement via a direct aortic approach can be complicated by cardiac tamponade requiring surgical exploration and repair.
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