Treatment of an unusual complication of transfemoral TAVI with a new technique: successful occlusion of ventricular septal defect by opening the closure device in the ascending aorta


DURSUN H., Erdal C., Ergene O., Unal B., Tanriverdi Z., KAYA D.

CARDIOVASCULAR JOURNAL OF AFRICA, vol.26, no.1, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.5830/cvja-2014-077
  • Journal Name: CARDIOVASCULAR JOURNAL OF AFRICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED)
  • Keywords: transcatheter aortic valve implantation, complication, ventricular septal defect
  • Dokuz Eylül University Affiliated: Yes

Abstract

Ventricular septal defect (VSD) is a rare complication of transcatheter aortic valve implantation (TAVI) via the transfemoral approach. Aetiological factors leading to VSD have been reported as post-balloon dilatation, oversized prosthesis implantation, and severe calcification of the aorta. However, we present a case of VSD occurring after TAVI with an Edwards Sapien XT prosthesis without any distinct aetiological factors. We used a new technique for closure of the significant VSD; opening the left ventricular disc of the closure device in the ascending aorta and successfully implanting the device without any damage to the bioprosthetic valve.