title: Successful treatment of annular rupture during transcatheter aortic valve implantation.
abstract: Annular rupture presents a rare but potentially fatal complication of transcatheter aortic valve implantation (TAVI). Although it can be subtle and subclinical in presentation, most severe forms present with hemodynamic instability and represent true emergencies requiring a more invasive treatment, even conventional surgery. We present a case of successful treatment of annular rupture by left ventricular outflow tract patch and surgical aortic valve replacement.
authors.affiliation: Department of Cardiac and Transplant Surgery, Dubrava University Hospital, Av. G. Suska 6, 10000, Zagreb, Croatia. dunic@kbd.hr.
authors.forename: Daniel
authors.initials: D
authors.lastname: Unic
authors.affiliation: Department of Cardiac and Transplant Surgery, Dubrava University Hospital, Av. G. Suska 6, 10000, Zagreb, Croatia.
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Sutlic
authors.affiliation: Department of Cardiology, Dubrava University Hospital, Zagreb, Croatia.
authors.forename: Boris
authors.initials: B
authors.lastname: Starcevic
authors.affiliation: Department of Anesthesiology and Intensive care, Dubrava University Hospital, Zagreb, Croatia.
authors.forename: Nikola
authors.initials: N
authors.lastname: Bradic
authors.affiliation: Department of Cardiac and Transplant Surgery, Dubrava University Hospital, Av. G. Suska 6, 10000, Zagreb, Croatia.
authors.forename: Davor
authors.initials: D
authors.lastname: Baric
authors.affiliation: Department of Cardiac and Transplant Surgery, Dubrava University Hospital, Av. G. Suska 6, 10000, Zagreb, Croatia.
authors.forename: Igor
authors.initials: I
authors.lastname: Rudez
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000293:injuries* / Q000601:surgery*; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D005260:Female; D006801:Humans; D012086:Reoperation / Q000379:methods; D012421:Rupture / Q000209:etiology* / Q000601:surgery*; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects* / Q000379:methods*; D016896:Treatment Outcome
keywords: Aortic annulus rupture; Aortic valve replacement; Calcification left ventricle outflow tract; Hybrid operating room; Transcatheter aortic valve implantation (TAVI)