Peri-aortic hematoma complicated with aortic regurgitation following transcatheter aortic valve implantation: description of a novel mechanism of paravalvular leak

J Invasive Cardiol. 2012 Sep;24(9):463-4.

Abstract

The recent development of transcatheter aortic valve implantation (TAVI) for patients with severe aortic stenosis (AS) offers a feasible option for high-risk surgical patients. However, several complications are specifically related to this technique. The present case describes a novel complication associated with TAVI, a severe paravalvular leak related to "stretch-induced" peri-aortic hematoma. The possible mechanisms of this complication, as well as its potential solutions, are discussed.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged, 80 and over
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / etiology*
  • Aortic Valve Insufficiency / surgery
  • Aortic Valve Stenosis / complications*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery
  • Cardiac Catheterization
  • Female
  • Heart Valve Prosthesis / adverse effects*
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / methods
  • Hematoma / diagnostic imaging
  • Hematoma / etiology*
  • Hematoma / surgery
  • Humans
  • Treatment Outcome
  • Ultrasonography