title: Late subannular aortic root rupture following transcatheter aortic valve implantation presenting as ST elevation myocardial infarction.
abstract: Transcatheter aortic valve implantation (TAVI) has transformed the treatment of severe aortic stenosis. Here, we present a case of late aortic root rupture presenting as ST-elevation myocardial infarction five weeks following successful TAVI. Aortic root rupture is a rare complication of TAVI, which occurs in ∼1% of procedures and usually arises during or soon after the procedure and is associated with high mortality (∼50%). Early recognition of late-presenting complications related to TAVI, including aortic root rupture, is essential for specialists and nonspecialists. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Cardiology, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom.
authors.forename: A R
authors.initials: AR
authors.lastname: Harper
authors.affiliation: Department of Cardiology, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom.
authors.forename: S
authors.initials: S
authors.lastname: Dawkins
authors.affiliation: Department of Cardiology, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom.
authors.forename: J D
authors.initials: JD
authors.lastname: Newton
mesh_terms: D000368:Aged; D056988:Anterior Wall Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017023:Coronary Angiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D000072657:ST Elevation Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology; D013997:Time Factors; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*; D016896:Treatment Outcome
keywords: acute myocardial infarction/STEMI; aortic valve disease; percutaneous intervention; transcatheter valve implantation