title: Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement.
abstract: Transcatheter aortic valve replacement (TAVR) techniques are rapidly evolving, and results of published trials suggest that TAVR is emerging as the standard of care in certain patient subsets and a viable alternative to surgery in others. As TAVR is a relatively new procedure and continues to gain its acceptance, rare procedural complications will continue to appear. Our case is about an 89-year-old male with extensive past medical history who presented with progressive exertional dyspnea and angina secondary to severe aortic stenosis. Patient got TAVR and his postoperative course was complicated by complete heart block, aorto-RV fistula, and ventricular septal defect (VSD) formation as a complication of TAVR. To the best of our knowledge, this is the third reported case of aorto-RV fistula following TAVR as a procedural complication but the first one to show three complications all together in one patient.
authors.affiliation: Baystate Medical Center, Tufts University School of Medicine, Springfield, MA 01199, USA.
authors.forename: Muhammad Tariq
authors.initials: MT
authors.lastname: Shakoor
authors.affiliation: Division of Cardiology, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA 01199, USA.
authors.forename: Ashequl M
authors.initials: AM
authors.lastname: Islam
authors.affiliation: Department of Pulmonary and Critical Care, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
authors.forename: Samia
authors.initials: S
authors.lastname: Ayub