Surgical Salvage of Annular Rupture After Transcatheter Aortic Valve Implantation by Conversion Into Annular Enlargement

Lamees I El Nihum; Qasim Al Abri; Amr Telmesani; Areeba Ali; Yuncen A He; Tomoya Hinohara; Manuel Reyes; Mahesh Ramchandani; Michael J Reardon

doi:10.1016/j.jaccas.2022.08.014

Surgical Salvage of Annular Rupture After Transcatheter Aortic Valve Implantation by Conversion Into Annular Enlargement

JACC Case Rep. 2022 Nov 16;4(22):1529-1533. doi: 10.1016/j.jaccas.2022.08.014.

Authors

Lamees I El Nihum^{1

2}, Qasim Al Abri¹, Amr Telmesani¹, Areeba Ali¹, Yuncen A He¹, Tomoya Hinohara¹, Manuel Reyes¹, Mahesh Ramchandani¹, Michael J Reardon¹

Affiliations

¹ DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas, USA.
² Texas A&M College of Medicine, Bryan, Texas, USA.

Abstract

We describe an 88-year-old woman who experienced annular rupture during transcatheter aortic valve replacement despite preventative measures. She underwent Y incision and rectangular patch for the double purpose of repairing the rupture and enlarging the aortic root. We highlight the heart team's role in confronting this potentially catastrophic complication. (Level of Difficulty: Advanced.).

Keywords: CPB, cardiopulmonary bypass; TAVR, transcatheter aortic valve replacement; annular rupture; root enlargement; transcatheter aortic valve replacement.

Publication types

Case Reports