title: Treatment of an unusual complication of transfemoral TAVI with a new technique: successful occlusion of ventricular septal defect by opening the closure device in the ascending aorta.
abstract: Ventricular septal defect (VSD) is a rare complication of transcatheter aortic valve implantation (TAVI) via the transfemoral approach. Aetiological factors leading to VSD have been reported as post-balloon dilatation, oversized prosthesis implantation, and severe calcification of the aorta. However, we present a case of VSD occurring after TAVI with an Edwards Sapien XT prosthesis without any distinct aetiological factors. We used a new technique for closure of the significant VSD; opening the left ventricular disc of the closure device in the ascending aorta and successfully implanting the device without any damage to the bioprosthetic valve.
authors: Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. drhuseyindursun@gmail.com.
authors: H
authors: H
authors: Dursun
authors: Department of Cardiovascular Surgery, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
authors: C
authors: C
authors: Erdal
authors: Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
authors: O
authors: O
authors: Ergene
authors: Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
authors: B
authors: B
authors: Unal
authors: Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
authors: Z
authors: Z
authors: Tanriverdi
authors: Department of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
authors: D
authors: D
authors: Kaya
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D018618:Echocardiography, Doppler, Color; D005260:Female; 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; D006801:Humans; D011474:Prosthesis Design; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054088:Ventricular Septum / Q000000981:diagnostic imaging / Q000293:injuries