title: Contained rupture of the aortic annulus after transcatheter aortic valve implantation: uncommon presentation of a rare complication.
abstract: We report the case of a contained rupture of the aortic annulus after transcatheter aortic valve implantation. The landing zone tear extended cranially to the aortic root and caudally into the perimembranous septum, creating a restrictive ventricular septal defect and severe paravalvular regurgitation into both ventricles, but no pericardial effusion or hemodynamic collapse. We elected conservative management, which proved to be a reasonable option.
authors.affiliation: Cardiology Service, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
authors.forename: Valérie
authors.initials: V
authors.lastname: Rodgers
authors.affiliation: Cardiology Service, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
authors.forename: François
authors.initials: F
authors.lastname: Gobeil
authors.affiliation: Cardiac Surgery Service, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Noiseux
authors.affiliation: Cardiac Surgery Service, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
authors.forename: Louis-Mathieu
authors.initials: LM
authors.lastname: Stevens
authors.affiliation: Cardiology Service, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
authors.forename: Lyne
authors.initials: L
authors.lastname: Bérubé
authors.affiliation: Radiology Service, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
authors.forename: Yves
authors.initials: Y
authors.lastname: Provost
authors.affiliation: Cardiology Service, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada. Electronic address: jbernard.masson@gmail.com.
authors.forename: Jean-Bernard
authors.initials: JB
authors.lastname: Masson
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000293:injuries* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000601:surgery; D006328:Cardiac Catheterization / Q000009:adverse effects*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D012421:Rupture / Q000175:diagnosis / Q000209:etiology; D054088:Ventricular Septum / Q000503:physiopathology