"Unlucky punch": unexpected annular rupture during TAVR and successful treatment. Issue 4 (4th March 2021)

• Record Type: Journal Article
• Authors: Geyer, Martin; Tamm, Alexander; Dohle, Daniel‐S.; Kornberger, Angela; Schnorbus, Boris; Beiras‐Fernandez, Andres; Münzel, Thomas; von Bardeleben, Ralph Stephan
• Is Part Of: Echocardiography. Volume 38:Issue 4(2021)
• Page Start: 705
• Page End: 706
• Publication Date: 2021-03-04
• Subjects: annular rupture -- complication management -- interdisciplinary heart team -- planning CT scan -- TAVR; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.15024
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract: Although rare, annular rupture in TAVR is a feared and often unpredictable complication with relevant impact on in‐hospital prognosis. Severe annular calcification is a common risk factor for annular rupture. We report on a case of annular rupture during TAVR with a balloon‐expanded prosthesis in the absence of any annular calcification in the planning CT scan and illustrate the proposed pathomechanism as well as its successful immediate surgical management.