Treating a rare mid-term complication of transapical transcatheter aortic valve implantation (TAVI): a case report

Eugenio Fraccalanza; Alessandra Fin; Nicola Zingaretti; Filippo Contessi Negrini; Enzo Mazzaro; Ugolino Livi; Pier Camillo Parodi

doi:10.1080/23320885.2022.2070490

Treating a rare mid-term complication of transapical transcatheter aortic valve implantation (TAVI): a case report

Case Reports Plast Surg Hand Surg. 2022 May 13;9(1):135-139. doi: 10.1080/23320885.2022.2070490. eCollection 2022.

Authors

Eugenio Fraccalanza¹, Alessandra Fin², Nicola Zingaretti³, Filippo Contessi Negrini³, Enzo Mazzaro⁴, Ugolino Livi⁵, Pier Camillo Parodi³

Affiliations

¹ Plastic Surgery Unit, Azienda Ulss 3 Serenissima, Venezia-Mestre, Italy.
² Hand Surgery and Reconstructive Microsurgery Unit, ASST G. Pini-CTO, Milan, Italy.
³ Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, Udine, Italy.
⁴ Cardiac Surgery Service, Humanitas Gavazzeni Hospital of Bergamo, Bergamo, Italy.
⁵ Cardiac Surgery Service, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, Udine, Italy.

Abstract

We report the case of a patient who underwent transcatheter aortic valve implantation via left anterior mini-thoracotomy in whom a periapical subcutaneous collection appeared in the anterior thoracic wall 18 months after the procedure. The tissue defect was efficaciously repaired via intercostal artery perforator flap, preserving the thoracodorsal and internal mammary arteries.

Keywords: Heart valve replacement; chestwall; dehiscence; healing; perforator flap; transapical; wound closure.

Publication types

Case Reports