title: A Left-to-Right Shunt After Transfemoral TAVR Using Edwards SAPIEN 3.
abstract: Transcatheter aortic valve replacement (TAVR) is used for the treatment of aortic stenosis (AS). Besides major bleeding, conduction blocks, stroke or atrial fibrillation, complications include cardiac perforation with possible left-to-right-shunts. Herein is reported the sixth case of a left-to-right shunt in an 87-year-old man who underwent TAVR using a 29 mm Edwards SAPIEN S3 prosthesis to treat AS. Soon after the procedure, a small channel evolving from the right coronary cusp could be detected on echocardiography. The patient was managed medically.
authors.affiliation: Department of Cardiology, Ludwig Maximilians University (LMU), Munich, Germany. Electrronic correspondence: julius.steffen@med.uni-muenchen.de.
authors.forename: Julius
authors.initials: J
authors.lastname: Steffen
authors.affiliation: Department of Cardiology, Ludwig Maximilians University (LMU), Munich, Germany.
authors.forename: Anton
authors.initials: A
authors.lastname: Köhler
authors.affiliation: Department of Radiology, Ludwig Maximilians University (LMU), Munich, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Schwarz
authors.affiliation: Department of Cardiac Surgery, Ludwig Maximilians University (LMU), Munich, Germany.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Sadoni
authors.affiliation: Department of Cardiac Surgery, Ludwig Maximilians University (LMU), Munich, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Hagl
authors.affiliation: Department of Cardiology, Ludwig Maximilians University (LMU), Munich, Germany.
authors.forename: Steffen
authors.initials: S
authors.lastname: Massberg
authors.affiliation: Department of Cardiology, Ludwig Maximilians University (LMU), Munich, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Greif
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000601:surgery*; D000072226:Computed Tomography Angiography; D004452:Echocardiography; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*