Aorto-right ventricular fistula after transfemoral aortic valve implantation.
A 91-year-old female patient presented with worsening exertional dyspnea 1 month after transfemoral aortic valve implantation using an Edwards Sapien valve. She was found to have a paraprosthetic sinus of Valsalva rupture with a left-to-right shunt into the right ventricular cavity. The patient underwent coil closure of the defect with successful shunt elimination.
Pilgrim
Thomas
T
Swiss Cardiovascular Center Bern, University Hospital, 3010 Bern, Switzerland.
Meier
Bernhard
B
Wenaweser
Peter
P
D000369:Aged, 80 and over; D001011:Aorta / Q000473:pathology; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D017023:Coronary Angiography; D005260:Female; D005263:Femoral Artery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D016157:Vascular Fistula / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000473:pathology