Abstract
Transcatheter aortic valve replacement (TAVR) has been commercially approved in the United States for the treatment of high-risk and inoperable patients with severe symptomatic aortic stenosis. While TAVR has proven benefits with regard to survival and quality of life in studied populations, the procedure is also associated with several well-described complications including stroke, vascular injury, and paravalvular regurgitation. More infrequent complications are less well described. Here, we report the development of new ventricular septal defects after TAVR in 4 patients with left ventricular outflow tract calcification. We discuss imaging and post-TAVR management of these patients.
MeSH terms
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Aged, 80 and over
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Aortic Valve Stenosis* / diagnosis
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Aortic Valve Stenosis* / epidemiology
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Aortic Valve Stenosis* / psychology
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Aortic Valve Stenosis* / surgery
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Aortic Valve* / diagnostic imaging
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Aortic Valve* / surgery
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Echocardiography / methods
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Female
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Heart Septal Defects, Ventricular* / diagnosis
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Heart Septal Defects, Ventricular* / etiology
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Heart Septal Defects, Ventricular* / physiopathology
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Heart Septal Defects, Ventricular* / surgery
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Humans
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Male
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Outcome and Process Assessment, Health Care
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Postoperative Complications* / diagnosis
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Postoperative Complications* / physiopathology
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Postoperative Complications* / surgery
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Quality of Life*
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Reoperation / methods
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Risk Assessment / methods
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Risk Factors
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Severity of Illness Index
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Transcatheter Aortic Valve Replacement* / adverse effects
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Transcatheter Aortic Valve Replacement* / methods