Percutaneous Management of a Contained Annular Rupture Occurring With Self-Expanding Transcatheter Aortic Valve Replacement

Morgan S Kellogg; Mark K Tuttle; Ravi K Sharma; Sahil V Mehta; Roger J Laham

doi:10.1016/j.jaccas.2020.09.007

Percutaneous Management of a Contained Annular Rupture Occurring With Self-Expanding Transcatheter Aortic Valve Replacement

JACC Case Rep. 2020 Oct 21;2(12):1852-1858. doi: 10.1016/j.jaccas.2020.09.007. eCollection 2020 Oct.

Authors

Morgan S Kellogg¹, Mark K Tuttle¹, Ravi K Sharma¹, Sahil V Mehta¹, Roger J Laham¹

Affiliation

¹ CardioVascular Institute, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts.

Abstract

Annular rupture is a rare catastrophic event during transcatheter aortic valve replacement, often life threatening and requiring emergent surgical repair. We describe, herein, a case of contained annular rupture successfully managed percutaneously with coiling and polymer injection. This is a novel technique to manage this complication. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; Evolut; LVOT, left ventricular outflow tract; POD, post-operative day; TAVR; TAVR, transcatheter aortic valve replacement; annular rupture; coiling.

Publication types

Case Reports