Percutaneous treatment of a post‐TAVI ventricular septal defect: A successful combined procedure for an unusual complication. Issue 7 (9th November 2012)

• Record Type: Journal Article
• Authors: Gerckens, Ulrich; Latsios, George; Pizzulli, Luciano
• Is Part Of: Catheterization and cardiovascular interventions. Volume 81:Issue 7(2013:Jun. 01)
• Page Start: E274
• Page End: E277
• Publication Date: 2012-11-09
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.24471
• Languages: English
• ISSNs: 1522-1946

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <p>In this report, we present the successful percutaneous ventricular septal defect (VSD) closure, just 1 week post‐transcatheter aortic valve implantation (TAVI). Periprocedurally, after implantation of the 31‐mm CoreValve in an intentionally "high" position, we balloon postdilated, with an excellent result. A week post‐TAVI, the patient started to deteriorate. Echocardiogram revealed a good working prosthesis; however, a perimembranous VSD was evident, causing significant shunt. We proceeded with interventional treatment of the defect, using an Amplatzer multifenestrated—"Cribriform"—septal occluder. Six months after the combined procedure, the patient showed marked improvement in symptoms and no shunt was observed. © 2012 Wiley Periodicals, Inc.</p> </abstract>