A complex ventricular septal defect following transcatheter aortic valve implantation evaluated by 3D transthoracic echocardiography.
Giovanni BarbatiRoberto ZeppelliniGiovanna ErenteAngelo B RamondoPublished in: Echocardiography (Mount Kisco, N.Y.) (2017)
Transcatheter aortic valve implantation (TAVI) has revolutionized the treatment of elderly patients with symptomatic severe aortic valve stenosis. Among the possible TAVI complications, a rare one is the annular/left ventricular outflow tract rupture. We report a rare case of a late complex ventricular septal defect (VSD) following TAVI with a balloon-expandable prosthesis, conservatively managed. Our case demonstrates the role of 3D transthoracic echocardiography (3DTTE) in the accurate diagnosis of this TAVI complication and suggests that, in some cases, it can be used as an alternative to other diagnostic tools, such as transesophageal echocardiography, cardiac catheterization, and computed tomography.
Keyphrases
- transcatheter aortic valve implantation
- left ventricular
- aortic stenosis
- aortic valve
- aortic valve replacement
- rare case
- computed tomography
- hypertrophic cardiomyopathy
- transcatheter aortic valve replacement
- cardiac resynchronization therapy
- heart failure
- acute myocardial infarction
- left atrial
- mitral valve
- high resolution
- early onset
- magnetic resonance imaging
- pulmonary hypertension
- coronary artery disease
- middle aged
- smoking cessation
- ejection fraction
- magnetic resonance
- dual energy
- percutaneous coronary intervention
- drug induced
- image quality