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

Cardiovasc J Afr. 2015 Jan-Feb;26(1):e8-10. doi: 10.5830/CVJA-2014-077. Epub 2014 Dec 2.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / therapy*
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / instrumentation*
  • Echocardiography, Doppler, Color
  • Female
  • Heart Injuries / diagnosis
  • Heart Injuries / etiology
  • Heart Injuries / therapy*
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis Implantation / methods
  • Heart Valve Prosthesis*
  • Humans
  • Prosthesis Design
  • Septal Occluder Device*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ventricular Septum* / diagnostic imaging
  • Ventricular Septum* / injuries