title: Aorto-right ventricular fistula following transcatheter aortic valve implantation using a 29 mm SAPIEN XT valve.
abstract: An 83-year-old man with severe symptomatic aortic valve stenosis underwent transcatheter aortic valve implantation (TAVI) using a 29 mm SAPIEN XT valve. He was haemodynamically stable, but developed haemolytic anaemia. Transthoracic echocardiography conducted 7 days after TAVI revealed an abnormal continuous flow from the right sinus of Valsalva adjacent to the implanted valve to the right ventricle. The amount of shunt flow was considered small and the patient was managed with diuretics successfully. He was discharged from the hospital 35 days after TAVI. He was doing well at 9 months after TAVI, despite persistence of the aorto-right ventricular fistula on repeat echocardiographic examinations.
authors.affiliation: Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Hagiwara
authors.affiliation: Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan naritatu@kuhp.kyoto-u.ac.jp.
authors.forename: Naritatsu
authors.initials: N
authors.lastname: Saito
authors.affiliation: Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yamazaki
authors.affiliation: Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kimura
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000473:pathology*; D001024:Aortic Valve Stenosis / Q000601:surgery; D019468:Disease Management; D004452:Echocardiography; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D008297:Male; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects* / Q000295:instrumentation; D016896:Treatment Outcome
keywords: General surgery; Medical education; Resuscitation