Iatrogenic Aorto–Right Ventricular Fistula: A Rare Complication of Transcatheter Valve Implantation

[Display omitted] •Aortic fistulas are a rare complication in patients undergoing balloon expandable TAVI.•Subannular calcification and excessive postdilation can cause ARV fistula formation.•Prompt imaging to quantify the shunt allows for planning and management of these cases.•Smaller, hemodynamic...

Full description

Saved in:
Bibliographic Details
Published in:CASE (Philadelphia, Pa.) Pa.), 2023-05, Vol.7 (5), p.197-204
Main Authors: Coelho, Bianca, Ng, Martin, Naoum, Chris, Banoub, Mina, Saad, Isabelle, Salama, Amanda
Format: Article
Language:English
Subjects:
Aorto–right ventricular fistula
Computed tomography
Transcatheter aortic valve implantation
Transesophageal echocardiography
Transthoracic echocardiography
Valvular Heart Disease
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:[Display omitted] •Aortic fistulas are a rare complication in patients undergoing balloon expandable TAVI.•Subannular calcification and excessive postdilation can cause ARV fistula formation.•Prompt imaging to quantify the shunt allows for planning and management of these cases.•Smaller, hemodynamically stable shunts can be managed conservatively.•Surgical repair is standard, but percutaneous closure is achievable with TEE guidance.
ISSN:2468-6441
2468-6441
DOI:10.1016/j.case.2023.01.002