Extrinsic compression of the left main coronary artery by a contained aortic annular rupture following trans-catheter aortic valve implantation

Aharon Erez; Israel Barbash; Dan Spiegelstein; Alexander Kogan; Ashraf Hamdan; Amichai Shinfeld; Sergey Preisman; Amit Segev

doi:10.1016/j.carrev.2015.05.005

Extrinsic compression of the left main coronary artery by a contained aortic annular rupture following trans-catheter aortic valve implantation

Cardiovasc Revasc Med. 2015 Jul-Aug;16(5):313-6. doi: 10.1016/j.carrev.2015.05.005. Epub 2015 May 21.

Authors

Aharon Erez¹, Israel Barbash¹, Dan Spiegelstein¹, Alexander Kogan¹, Ashraf Hamdan¹, Amichai Shinfeld¹, Sergey Preisman¹, Amit Segev²

Affiliations

¹ The Heart Center, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
² The Heart Center, Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: [email protected].

PMID: 26100974
DOI: 10.1016/j.carrev.2015.05.005

Abstract

We present a case of an 83-year-old female who suffered from annular rupture with contained hematoma immediately after trans-apical implantation of balloon-expandable Sapien valve. The patient developed acute cardiogenic shock which resulted from an extrinsic compression of the left main coronary artery. We report the successful management of this complication.

Keywords: Annular rupture; Complication; PCI; TAVR.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Rupture / etiology
Aortic Rupture / surgery*
Aortic Valve / surgery*
Aortic Valve Stenosis / surgery*
Cardiac Catheterization / methods
Coronary Vessels / surgery*
Female
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation* / methods
Humans
Transcatheter Aortic Valve Replacement / adverse effects*
Transcatheter Aortic Valve Replacement / methods