title: Aborted TAVR following aortic balloon valvuloplasty.
abstract: An 80-year-old man with symptomatic severe aortic valve stenosis was referred for transcatheter aortic valve replacement (TAVR) after balloon aortic valvuloplasty (BAV). The TAVR procedure was aborted because of identification of a mobile mass attached to the leading edge of the right cusp of the aortic valve on a transesophageal echocardiography. Surgical aortic valve replacement (SAVR) was performed and this mass was found to be an aortic cusp fenestration rupture that was caused by the BAV.
authors.affiliation: Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: Khaled D
authors.initials: KD
authors.lastname: Algarni
authors.forename: Kevin L
authors.initials: KL
authors.lastname: Greason
authors.forename: Rakesh M
authors.initials: RM
authors.lastname: Suri
authors.forename: Hector I
authors.initials: HI
authors.lastname: Michelena
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Maalouf
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D063126:Balloon Valvuloplasty / Q000009:adverse effects*; D000082882:Bicuspid Aortic Valve Disease; D017548:Echocardiography, Transesophageal; D006330:Heart Defects, Congenital / Q000209:etiology*; D006349:Heart Valve Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D012720:Severity of Illness Index; D065467:Transcatheter Aortic Valve Replacement