Although rare, annular rupture in TAVR is a feared and often unpredictable complication with relevant impact on in-hospital prognosis. Severe annular calcification is a common risk factor for annular rupture. We report on a case of annular rupture during TAVR with a balloon-expanded prosthesis in the absence of any annular calcification in the planning CT scan and illustrate the proposed pathomechanism as well as its successful immediate surgical management.
Keywords: TAVR; annular rupture; complication management; interdisciplinary heart team; planning CT scan.
© 2021 The Authors. Echocardiography published by Wiley Periodicals LLC.