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. 2015:2015:608539.
doi: 10.1155/2015/608539. Epub 2015 Mar 26.

Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement

Muhammad Tariq Shakoor  1 , Ashequl M Islam  2 , Samia Ayub  3
Affiliations

Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement

Muhammad Tariq Shakoor et al. Case Rep Cardiol. 2015.

Abstract

Transcatheter aortic valve replacement (TAVR) techniques are rapidly evolving, and results of published trials suggest that TAVR is emerging as the standard of care in certain patient subsets and a viable alternative to surgery in others. As TAVR is a relatively new procedure and continues to gain its acceptance, rare procedural complications will continue to appear. Our case is about an 89-year-old male with extensive past medical history who presented with progressive exertional dyspnea and angina secondary to severe aortic stenosis. Patient got TAVR and his postoperative course was complicated by complete heart block, aorto-RV fistula, and ventricular septal defect (VSD) formation as a complication of TAVR. To the best of our knowledge, this is the third reported case of aorto-RV fistula following TAVR as a procedural complication but the first one to show three complications all together in one patient.

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Figures

Figure 1
Figure 1
CT determined cross-sectional aortic annular dimensions.
Figure 2
Figure 2
TEE three-dimensional view of aortic valve showing heavy calcification.
Figure 3
Figure 3
Coronal section of CT chest showing heavily calcified aortic valve.
See this image and copyright information in PMC

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