title: Interventricular septal rupture after transcatheter aortic valve implantation: surgical and perioperative management.
abstract: Transcatheter aortic valve implantation (TAVI) is associated with various complications, usually related to valve positioning or prosthesis delivery. We report the rare complication of an iatrogenic ventricular septal defect, secondary to aortic annulus disruption after TAVI-transfemoral procedure, generating a significant left-to-right shunt and cardiac failure. Open surgical procedures under cardiopulmonary bypass remain the best option for this lethal complication.
authors.affiliation: Department of Cardiac Surgery, European University of Madrid, Ramón y Cajal Hospital, Madrid, Spain.
authors.forename: Jose M
authors.initials: JM
authors.lastname: Garrido
authors.forename: Andrea
authors.initials: A
authors.lastname: Ferreiro
authors.forename: Noemí
authors.initials: N
authors.lastname: Samaranch
authors.forename: Luisa
authors.initials: L
authors.lastname: Salido
authors.forename: Ignacio
authors.initials: I
authors.lastname: García-Andrade
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods*; D004452:Echocardiography; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006346:Heart Septum / Q000293:injuries*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007049:Iatrogenic Disease; D019990:Perioperative Care; D011183:Postoperative Complications / Q000209:etiology; D012421:Rupture / Q000209:etiology; D012720:Severity of Illness Index