title: Percutaneous closure of a poorly tolerated post-transcatheter aortic valve implantation ventricular septal defect.
abstract: We report the case of a 78-year-old woman with severe aortic valve stenosis that was successfully treated with transcatheter aortic valve implantation, with initial good hemodynamic results and clinical improvement of the patient. After 3 weeks, her clinical condition worsened, with progressive heart failure. Transthoracic echocardiography revealed an iatrogenic large subaortic ventricular septal defect with important left-to right shunt (Qp/Qs 3:1). The patient underwent successful transcatheter closure of the ventricular septal defect with a 14-mm Amplatzer mVSD Occluder (AGA Medical, Plymouth, MN), resulting in dramatic clinical improvement.
authors.affiliation: Service de Cardiologie Pédiatrique et Congénitale, CHU Timone Enfants, Marseille, France.
authors.forename: Lucia
authors.initials: L
authors.lastname: Mauri
authors.affiliation: Service de Cardiologie Pédiatrique et Congénitale, CHU Timone Enfants, Marseille, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Aldebert
authors.affiliation: Service de Cardiologie, CHU Timone Adultes, Marseille, France.
authors.forename: Thomas
authors.initials: T
authors.lastname: Cuisset
authors.affiliation: Service de Cardiologie, CHU Timone Adultes, Marseille, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Quilici
authors.affiliation: Service de Cardiologie Pédiatrique et Congénitale, CHU Timone Enfants, Marseille, France. Electronic address: alain.fraisse@ap-hm.fr.
authors.forename: Alain
authors.initials: A
authors.lastname: Fraisse
mesh_terms: D000368:Aged; D000792:Angiography; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D004452:Echocardiography; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D012086:Reoperation; D055989:Septal Occluder Device; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*