title: Posttranscatheter Aortic Valve Replacement Ventricular Septal Defect During Transfemoral Edwards SAPIEN Valve Implantation.
abstract: Transcatheter aortic valve replacement (TAVR) is gaining favor as a treatment for aortic stenosis in patients at high risk for the open surgical approach. The following is a report of a 95-year-old woman with severe aortic stenosis who presented for TAVR with an Edwards SAPIEN valve. Her medical history included pacemaker-dependent complete heart block and a recent episode of congestive heart failure secondary to a non-ST segment elevation myocardial infarction. The TAVR was performed successfully through an open left femoral artery approach, and the patient was found to have a new perimembranous ventricular septal defect identified postoperatively.
authors.affiliation: From the Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington.
authors.forename: Aaron
authors.initials: A
authors.lastname: Dahl
authors.forename: Carli
authors.initials: C
authors.lastname: Hoaglan
authors.forename: James
authors.initials: J
authors.lastname: Helman
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging* / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*; D018615:Ultrasonography, Doppler, Color