Aorto-Right Ventricular Fistula and Paravalvular Leak After Transcatheter Aortic Valve Implantation

Ahmed M Alabbady; Sudhakar Sattur; Terry D Bauch; Kishore J Harjai

doi:10.1016/j.jaccas.2019.11.025

Aorto-Right Ventricular Fistula and Paravalvular Leak After Transcatheter Aortic Valve Implantation

JACC Case Rep. 2019 Dec 18;1(5):859-864. doi: 10.1016/j.jaccas.2019.11.025.

Authors

Ahmed M Alabbady¹, Sudhakar Sattur², Terry D Bauch³, Kishore J Harjai³

Affiliations

¹ Cardiology Department, Geisinger Medical Center, Danville, Pennsylvania.
² Cardiology Department, Guthrie Clinic, Sayre, Pennsylvania.
³ Cardiology Department Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania.

Abstract

Aorto-right ventricular fistula is a potentially fatal complication following transcatheter aortic valve implantation (TAVI). This paper presents a case of successful percutaneous repair of aorto-right ventricular fistula and paravalvular leak after TAVI by using 3D-printed models for pre-procedural planning, and a review of published aorto-right ventricular fistula cases to date. (Level of Difficulty: Advanced.).

Keywords: CT, computed topography; PPM, permanent pacemaker; PVL, paravalvular leak; Qp, pulmonary flow; Qs, systemic flow; TAVI, transcatheter aortic valve implantation; VSD, ventricular septal defect; aortic valve; complication; valve replacement.

Publication types

Case Reports