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Interventricular Septal Rupture After Transcatheter Aortic Valve Implantation: Surgical and Perioperative Management
Author(s) -
Garrido Jose M.,
Ferreiro Andrea,
Samaranch Noemí,
Salido Luisa,
GarcíaAndrade Ignacio
Publication year - 2014
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12362
Subject(s) - medicine , complication , cardiopulmonary bypass , shunt (medical) , perioperative , surgery , cardiac skeleton , cardiology , interventricular septum , prosthesis , aortic valve replacement , stenosis , ventricle
Transcatheter aortic valve implantation (TAVI) is associated with various complications, usually related to valve positioning or prosthesis delivery. We report the rare complication of an iatrogenic ventricular septal defect, secondary to aortic annulus disruption after TAVI‐transfemoral procedure, generating a significant left‐to‐right shunt and cardiac failure. Open surgical procedures under cardiopulmonary bypass remain the best option for this lethal complication. doi: 10.1111/jocs.12362 (J Card Surg 2014;29:478–481)