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Review
. 2018 Sep;13(3):140-144.
doi: 10.15420/icr.2018.20.2.

Annular Rupture During Transcatheter Aortic Valve Implantation: Predictors, Management and Outcomes

J J Coughlan  1   2 , Thomas Kiernan  1   2 , Darren Mylotte  1   2 , Samer Arnous  1   2
Affiliations
Review

Annular Rupture During Transcatheter Aortic Valve Implantation: Predictors, Management and Outcomes

J J Coughlan et al. Interv Cardiol. 2018 Sep.

Abstract

Transcatheter aortic valve implantation (TAVI) is the treatment of choice in patients with symptomatic severe aortic stenosis who are either inoperable or at high risk for conventional surgical aortic valve replacement. Recent data have also shown favourable outcomes in patients deemed to be at intermediate operative risk, which expands the application of this novel technology. Despite its success, TAVI has been associated with rare life-threatening complications. Of these, aortic annular rupture is considered to be the most devastating. Advances in pre-procedural screening and patient selection have reduced the incidence of annular rupture. When this complication occurs, early recognition and prompt management are essential. This article is intended to provide a comprehensive review of the predictors, management and clinical outcomes of aortic annular rupture.

Keywords: Transcatheter aortic valve implantation (TAVI); aortic annular rupture; aortic stenosis; balloon aortic valvuloplasty (BAV); multislice computed tomography (MSCT); transcatheter heart valve (THV); transoesophageal echocardiography (TEE); transthoracic echocardiography (TTE).

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Conflict of interest statement

Disclosure: The authors of this paper have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Sites and Potential Communications of Annular Rupture
See this image and copyright information in PMC

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