"Unlucky punch": unexpected annular rupture during TAVR and successful treatment.

Martin Geyer Alexander TammDaniel-S DohleAngela KornbergerBoris SchnorbusAndres Beiras-FernandezThomas MünzelRalph Stephan von Bardeleben

Published in: Echocardiography (Mount Kisco, N.Y.) (2021)

Although rare, annular rupture in TAVR is a feared and often unpredictable complication with relevant impact on in-hospital prognosis. Severe annular calcification is a common risk factor for annular rupture. We report on a case of annular rupture during TAVR with a balloon-expanded prosthesis in the absence of any annular calcification in the planning CT scan and illustrate the proposed pathomechanism as well as its successful immediate surgical management.

Keyphrases

transcatheter aortic valve replacement
aortic valve
computed tomography
aortic stenosis
chronic kidney disease
emergency department
early onset
coronary artery disease
stress induced
image quality
atrial fibrillation
adverse drug