Contained aortic annulus rupture with persisting false aneurysm after transfemoral transcatheter aortic valve implantation

Clin Res Cardiol. 2014 Aug;103(8):599-601. doi: 10.1007/s00392-014-0696-0.

Abstract

With older age and increasing comorbidities, conventional operative procedures for severe symptomatic aortic stenosis are associated with a high surgical risk. To date, transfemoral transcatheter aortic valve implantation (TF-TAVI) represents an accepted alternative method of intervention with a cardiovascular and all-cause mortality similar to operative replacement at early and long-term follow-up in this high risk population (Thomas et al., Circulation 124:425–433, 2011). Despite growing experience of the operators and improvement of the devices procedural and perioperative complications still occur (Panchal et al., Am J Cardiol, 2013). Aortic annulus rupture as well as the rupture of the membranous ventricular septum has been reported (Aminian et al., Catheter Cardiovasc Interv 81:E72–E75, 2013). We present the unusual case of an 80-year-old female who developed a false aneurysm following a contained aortic annulus rupture during a TF-TAVI procedure.

Publication types

  • Case Reports

MeSH terms

  • Age Factors
  • Aged, 80 and over
  • Aneurysm, False / etiology*
  • Aneurysm, False / pathology
  • Aortic Rupture / etiology*
  • Aortic Rupture / pathology
  • Aortic Valve Stenosis / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Postoperative Complications / etiology
  • Postoperative Complications / pathology
  • Risk Factors
  • Transcatheter Aortic Valve Replacement / adverse effects*
  • Transcatheter Aortic Valve Replacement / methods