Late subannular aortic root rupture following transcatheter aortic valve implantation presenting as ST elevation myocardial infarction

Catheter Cardiovasc Interv. 2018 Jun;91(7):E72-E74. doi: 10.1002/ccd.26724. Epub 2016 Sep 21.

Abstract

Transcatheter aortic valve implantation (TAVI) has transformed the treatment of severe aortic stenosis. Here, we present a case of late aortic root rupture presenting as ST-elevation myocardial infarction five weeks following successful TAVI. Aortic root rupture is a rare complication of TAVI, which occurs in ∼1% of procedures and usually arises during or soon after the procedure and is associated with high mortality (∼50%). Early recognition of late-presenting complications related to TAVI, including aortic root rupture, is essential for specialists and nonspecialists. © 2016 Wiley Periodicals, Inc.

Keywords: acute myocardial infarction/STEMI; aortic valve disease; percutaneous intervention; transcatheter valve implantation.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Anterior Wall Myocardial Infarction / diagnostic imaging
  • Anterior Wall Myocardial Infarction / etiology
  • Aortic Rupture / diagnostic imaging
  • Aortic Rupture / etiology*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Coronary Angiography
  • Fatal Outcome
  • Humans
  • Male
  • ST Elevation Myocardial Infarction / diagnostic imaging
  • ST Elevation Myocardial Infarction / etiology*
  • Severity of Illness Index
  • Shock, Cardiogenic / etiology
  • Time Factors
  • Transcatheter Aortic Valve Replacement / adverse effects*
  • Treatment Outcome