Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure

Case Reports in Cardiology
Abdelkader AlmanfiNeil Strickman

Abstract

The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. A 92-year-old male presented with progressive exertional dyspnea and recurrent syncopal attacks secondary to severe AS. The patient underwent successful transfemoral TAVR with 29 mm Edwards SAPIEN XT valve. His postoperative course was complicated by aorto-right ventricular shunt. The patient's clinical course was followed up for one year. This case reports the incidence and clinical course of one of the rare complications of TAVR, aorto-right ventricular fistula. Conservative medical management is appropriate in hemodynamically stable patients with this specific complication.

References

Feb 10, 1998·The Annals of Thoracic Surgery·L E SamuelsS K Brockman
May 15, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ulrich GerckensLuciano Pizzulli
Aug 15, 2012·Methodist DeBakey Cardiovascular Journal·Jean-Claude LabordeMarjan Jahangiri
Apr 18, 2015·Case Reports in Cardiology·Muhammad Tariq ShakoorSamia Ayub

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