Bulging sign: A precursor of annular rupture observed before aortic balloon rupture during valvuloplasty in transcatheter aortic valve implantation.
Transcatheter aortic-valve implantation (TAVI) is a reliable alternative to surgical aortic-valve replacement in inoperable or high-risk patients. However, this evolving therapy is associated with a wide range of potential complications- some specific to TAVI, some often fatal. Prevention, early recognition, and taking essential precautions will significantly improve results. The case of an 85-year-old woman with balloon rupture during valvuloplasty in TAVI, a very rare and potentially fatal complication, is presented.
Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
Hacı Ahmet
HA
Kasapkara
Department of Cardiology, Atatürk Training and Research Hospital, Ankara, Turkey. drnabiaslan@hotmail.com.
Abdullah Nabi
AN
Aslan
Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
Tahir
T
Durmaz
Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
Engin
E
Bozkurt
D000369:Aged, 80 and over; D001019:Aortic Rupture / Q000000981:diagnostic imaging; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D063126:Balloon Valvuloplasty / Q000009:adverse effects*; D005260:Female; D006801:Humans; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*