Percutaneous Treatment of an Aorto-Right Ventricular Fistula Following Balloon-Expandable Transcatheter Aortic Valve Replacement

Cameron Dowling; Christiane Haeffele; Brian P Pogatchnik; Rahul P Sharma

doi:10.1016/j.jaccas.2023.101906

Percutaneous Treatment of an Aorto-Right Ventricular Fistula Following Balloon-Expandable Transcatheter Aortic Valve Replacement

JACC Case Rep. 2023 Jun 12:18:101906. doi: 10.1016/j.jaccas.2023.101906. eCollection 2023 Jul 19.

Authors

Cameron Dowling^{1

2}, Christiane Haeffele¹, Brian P Pogatchnik³, Rahul P Sharma¹

Affiliations

¹ Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California, USA.
² MonashHeart, Monash Health and Monash Cardiovascular Research Centre, Monash University, Melbourne, Australia.
³ Department of Radiology, Stanford University School of Medicine, Stanford, California, USA.

Abstract

We present the case of a 71-year-old man who experienced congestive cardiac failure after transcatheter aortic valve replacement with a balloon-expandable transcatheter heart valve. Echocardiography and cardiac computed tomography demonstrated an aorto-right ventricular fistula, and successful percutaneous closure was performed with a vascular plug. (Level of Difficulty: Advanced.).

Keywords: aortic valve; computed tomography; echocardiography.

Publication types

Case Reports