Can Lightning Strike Twice? Tackling Complications From Transcatheter Aortic Valve Implantation

J Invasive Cardiol. 2019 Sep;31(9):E277.

Abstract

TAVI complications may occur in the peri- and postprocedural periods. A 79-year-old woman with known severe degenerative calcified aortic stenosis underwent transfemoral TAVI; prior to groin closure, she became hypotensive. Prosthetic valve thrombosis was confirmed with transesophageal echocardiography and computed tomography aortogram, which showed thrombus on the immobile non-coronary cusp leaflet.

Keywords: TAVI; cardiac imaging; complications; computed tomography; transesophageal echocardiography.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Anticoagulants / therapeutic use
  • Aortic Valve / pathology*
  • Aortic Valve / surgery
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Calcinosis / diagnosis
  • Calcinosis / surgery*
  • Echocardiography, Transesophageal
  • Female
  • Heart Diseases / diagnosis
  • Heart Diseases / drug therapy
  • Humans
  • Multidetector Computed Tomography
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / drug therapy
  • Prosthesis Design
  • Prosthesis Failure
  • Thrombosis / diagnosis*
  • Thrombosis / drug therapy
  • Transcatheter Aortic Valve Replacement / adverse effects*

Substances

  • Anticoagulants

Supplementary concepts

  • Aortic Valve, Calcification of