Annular rupture presents a rare but potentially fatal complication of transcatheter aortic valve implantation (TAVI). Although it can be subtle and subclinical in presentation, most severe forms present with hemodynamic instability and represent true emergencies requiring a more invasive treatment, even conventional surgery. We present a case of successful treatment of annular rupture by left ventricular outflow tract patch and surgical aortic valve replacement.
Keywords: Aortic annulus rupture; Aortic valve replacement; Calcification left ventricle outflow tract; Hybrid operating room; Transcatheter aortic valve implantation (TAVI).