title: Percutaneous treatment of a post-TAVI ventricular septal defect: a successful combined procedure for an unusual complication.
abstract: In this report, we present the successful percutaneous ventricular septal defect (VSD) closure, just 1 week post-transcatheter aortic valve implantation (TAVI). Periprocedurally, after implantation of the 31-mm CoreValve in an intentionally "high" position, we balloon postdilated, with an excellent result. A week post-TAVI, the patient started to deteriorate. Echocardiogram revealed a good working prosthesis; however, a perimembranous VSD was evident, causing significant shunt. We proceeded with interventional treatment of the defect, using an Amplatzer multifenestrated--"Cribriform"--septal occluder. Six months after the combined procedure, the patient showed marked improvement in symptoms and no shunt was observed.
authors.affiliation: Saint Elisabeth-Saint Petrus Community Hospital, Department of Internal Medicine and Cardiology, Bonn, Germany.
authors.forename: Ulrich
authors.initials: U
authors.lastname: Gerckens
authors.forename: George
authors.initials: G
authors.lastname: Latsios
authors.forename: Luciano
authors.initials: L
authors.lastname: Pizzulli
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D017548:Echocardiography, Transesophageal; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D011474:Prosthesis Design; D055989:Septal Occluder Device; D013997:Time Factors; D016896:Treatment Outcome