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- Title
Transcatheter aortic valve implantation in a patient with interventricular membranous septal aneurysm resulted in cardiac tamponade of unclear etiology.
- Authors
Ioana Dregoesc, Mihaela; Bindea, Dan Ion; Constantin Marc, Mădălin; Săsărman, Vasile; Corneliu Iancu, Adrian
- Abstract
An 86-year-old lady with severe aortic stenosis and interventricular membranous septal aneurysm underwent transfemoral transcatheter aortic valve implantation (TAVI). A balloon-expandable valve was deployed after a difficult native valve crossing. Transesophageal echocardiography showed a rapidly accumulating pericardial effusion, with pericardial thrombus and subsequent cardiac tamponade. The angiographic views raised suspicion of aortic root perforation. Median sternotomy was performed because of sudden hemodynamic collapse. The report presents the uncommon association between severe aortic stenosis and interventricular membranous septal aneurysm in an octogenarian and discusses its impact on the development of a post-TAVI major complication.
- Subjects
AORTIC valve transplantation; CARDIAC tamponade; AORTIC stenosis; PERICARDIAL effusion; TRANSESOPHAGEAL echocardiography
- Publication
Medical Ultrasonography, 2023, Vol 25, Issue 1, p104
- ISSN
1844-4172
- Publication type
Case Study
- DOI
10.11152/mu-2706