Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure
Background. The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. Clinical Case. A 92-year-old male presented with progressive ex...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/1834394 |
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| _version_ | 1850215162570604544 |
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| author | Abdelkader Almanfi Ahmad Qurie Neil Strickman |
| author_facet | Abdelkader Almanfi Ahmad Qurie Neil Strickman |
| author_sort | Abdelkader Almanfi |
| collection | DOAJ |
| description | Background. The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. Clinical Case. A 92-year-old male presented with progressive exertional dyspnea and recurrent syncopal attacks secondary to severe AS. The patient underwent successful transfemoral TAVR with 29 mm Edwards SAPIEN XT valve. His postoperative course was complicated by aorto-right ventricular shunt. The patient’s clinical course was followed up for one year. Conclusion. This case reports the incidence and clinical course of one of the rare complications of TAVR, aorto-right ventricular fistula. Conservative medical management is appropriate in hemodynamically stable patients with this specific complication. |
| format | Article |
| id | doaj-art-7f6281910f68404e8ca6de9b6cbe0d14 |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-7f6281910f68404e8ca6de9b6cbe0d142025-08-20T02:08:42ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/18343941834394Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common ProcedureAbdelkader Almanfi0Ahmad Qurie1Neil Strickman2Department of Cardiology, Texas Heart Institute, Houston, TX, USADepartment of Cardiology, Texas Heart Institute, Houston, TX, USADepartment of Cardiology, Texas Heart Institute, Houston, TX, USABackground. The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. Clinical Case. A 92-year-old male presented with progressive exertional dyspnea and recurrent syncopal attacks secondary to severe AS. The patient underwent successful transfemoral TAVR with 29 mm Edwards SAPIEN XT valve. His postoperative course was complicated by aorto-right ventricular shunt. The patient’s clinical course was followed up for one year. Conclusion. This case reports the incidence and clinical course of one of the rare complications of TAVR, aorto-right ventricular fistula. Conservative medical management is appropriate in hemodynamically stable patients with this specific complication.http://dx.doi.org/10.1155/2017/1834394 |
| spellingShingle | Abdelkader Almanfi Ahmad Qurie Neil Strickman Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure Case Reports in Cardiology |
| title | Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure |
| title_full | Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure |
| title_fullStr | Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure |
| title_full_unstemmed | Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure |
| title_short | Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure |
| title_sort | aorto right ventricular shunt after tavr rare complication of common procedure |
| url | http://dx.doi.org/10.1155/2017/1834394 |
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