Contained Aortic Rupture as a Late Complication of Transcutaneous Aortic Valve Implantation

Kumar, Abhishek; Wojciuk, Jerzy; Morgan, K.; Khan, Sohail Q.; More, Ranjit; Sogliani, Franco; Bury, Roger W.; Roberts, David H.

doi:10.1016/j.jcin.2010.02.013

Cited by 2 publications

(1 citation statement)

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“…39 Subacute progression of the rupture can occur, and late development of aortic pseudoaneurysm has been reported. 53 In patients with haemodynamic collapse, associated pericardial effusion and cardiac tamponade, percutaneous pericardial drainage and reversal of systemic anticoagulation should be performed. Not infrequently, these manoeuvres may be sufficient to stabilise the patient, but contingency plans for escalation should be instituted on confirmation of the diagnosis.…”

Section: Initial Approachesmentioning

confidence: 99%

Annular Rupture During Transcatheter Aortic Valve Implantation: Predictors, Management and Outcomes

Coughlan

Kiernan

Mylotte

et al. 2018

Interventional Cardiology Review

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Transcatheter aortic valve implantation (TAVI) is the treatment of choice in patients with symptomatic severe aortic stenosis who are either inoperable or at high risk for conventional surgical aortic valve replacement. Recent data have also shown favourable outcomes in patients deemed to be at intermediate operative risk, which expands the application of this novel technology. Despite its success, TAVI has been associated with rare life-threatening complications. Of these, aortic annular rupture is considered to be the most devastating. Advances in pre-procedural screening and patient selection have reduced the incidence of annular rupture. When this complication occurs, early recognition and prompt management are essential. This article is intended to provide a comprehensive review of the predictors, management and clinical outcomes of aortic annular rupture.

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Section: Initial Approachesmentioning

confidence: 99%