Successful closure of transcatheter aortic valve replacement-induced Gerbode defect with valve-in-valve technique: A case report.

AOD-aortic disease AVDP-aortic valve disease TVI-transcatheter valve implantation percutaneous intervention

Journal

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139

Informations de publication

Date de publication:
Dec 2023
Historique:
revised: 15 09 2023
received: 06 08 2023
accepted: 03 10 2023
pubmed: 19 10 2023
medline: 19 10 2023
entrez: 19 10 2023
Statut: ppublish

Résumé

We present the first documented case of a successful closure of a transcatheter aortic valve replacement (TAVR)-induced Gerbode defect using a valve-in-valve approach. A 90-year-old female with severe aortic stenosis underwent TAVR. Following post-dilatation, the patient experienced hemodynamic deterioration and collapse due to tamponade and sub-annular rupture leading to hemodynamic deterioration and the development of a Gerbode defect with communication between the left ventricle and right atrium. Hemodynamic stabilization was achieved through pericardiocentesis, followed by the low implantation of a second valve, effectively sealing the rupture. This case showcases a valuable alternative for managing rare challenging complications during TAVR procedures.

Identifiants

pubmed: 37855208
doi: 10.1002/ccd.30882
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

1386-1388

Informations de copyright

© 2023 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.

Références

Ando T, Holmes AA, Taub CC, Slovut DP, DeRose JJ. Iatrogenic ventricular septal defect following transcatheter aortic valve replacement: a systematic review. Heart, Lung Circ. 2016;25(10):968-974. doi:10.1016/j.hlc.2016.03.012
Taha FA, Alnozha F, Amoudi O, Almutairi M, Abuelatta R. Transcatheter closure of residual and iatrogenic ventricular septal defects: tertiary center experience and outcome. Pediatr Cardiol. 2022;43(2):308-323.
Skalidis I, Roux O, Rotzinger DC, et al. Endovascular stent grafting for descending thoracic aortic rupture during TAVR. JACC: Cardiovascular InterventionsJACC Cardiovasc Interv. 2022;15(18):1880-1882.
Rouleau SG, Brady WJ, Koyfman A, Long B. Transcatheter aortic valve replacement complications: a narrative review for emergency clinicians. Am J Emerg Med. 2022;56:77-86.

Auteurs

Ioannis Skalidis (I)

Department of Cardiology, University Hospital of Heraklion, Crete, Greece.
Department of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.

Michalis Hamilos (M)

Department of Cardiology, University Hospital of Heraklion, Crete, Greece.

Stylianos Petousis (S)

Department of Cardiology, University Hospital of Heraklion, Crete, Greece.

George Kochiadakis (G)

Department of Cardiology, University Hospital of Heraklion, Crete, Greece.

Emmanouil Skalidis (E)

Department of Cardiology, University Hospital of Heraklion, Crete, Greece.

Classifications MeSH