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Percutaneous treatment of a post‐TAVI ventricular septal defect: A successful combined procedure for an unusual complication
Author(s) -
Gerckens Ulrich,
Latsios George,
Pizzulli Luciano
Publication year - 2012
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24471
Subject(s) - medicine , percutaneous , shunt (medical) , complication , surgery , cardiac catheterization , balloon , cardiology , prosthesis , interventional cardiology , heart septal defect
In this report, we present the successful percutaneous ventricular septal defect (VSD) closure, just 1 week post‐transcatheter aortic valve implantation (TAVI). Periprocedurally, after implantation of the 31‐mm CoreValve in an intentionally “high” position, we balloon postdilated, with an excellent result. A week post‐TAVI, the patient started to deteriorate. Echocardiogram revealed a good working prosthesis; however, a perimembranous VSD was evident, causing significant shunt. We proceeded with interventional treatment of the defect, using an Amplatzer multifenestrated—“Cribriform”—septal occluder. Six months after the combined procedure, the patient showed marked improvement in symptoms and no shunt was observed. © 2012 Wiley Periodicals, Inc.