Peri-aortic hematoma complicated with aortic regurgitation following transcatheter aortic valve implantation: description of a novel mechanism of paravalvular leak

The recent development of transcatheter aortic valve implantation (TAVI) for patients with severe aortic stenosis (AS) offers a feasible option for high-risk surgical patients. However, several complications are specifically related to this technique. The present case describes a novel complication...

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Bibliographic Details
Published in:	The Journal of invasive cardiology Vol. 24; no. 9; p. 463
Main Authors:	Nombela-Franco, Luis, Goicolea, Javier, Oteo, Juan F
Format:	Journal Article
Language:	English
Published:	United States 01-09-2012
Subjects:	Aged, 80 and over Aortic Valve - surgery Aortic Valve Insufficiency - etiology Aortic Valve Insufficiency - surgery Aortic Valve Stenosis - complications Aortic Valve Stenosis - diagnostic imaging Aortic Valve Stenosis - surgery Cardiac Catheterization Female Heart Valve Prosthesis - adverse effects Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - methods Hematoma - diagnostic imaging Hematoma - etiology Hematoma - surgery Humans Treatment Outcome Ultrasonography
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Summary:	The recent development of transcatheter aortic valve implantation (TAVI) for patients with severe aortic stenosis (AS) offers a feasible option for high-risk surgical patients. However, several complications are specifically related to this technique. The present case describes a novel complication associated with TAVI, a severe paravalvular leak related to "stretch-induced" peri-aortic hematoma. The possible mechanisms of this complication, as well as its potential solutions, are discussed.
ISSN:	1557-2501