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Case Reports
. 2019 Dec 18;1(5):859-864.
doi: 10.1016/j.jaccas.2019.11.025.

Aorto-Right Ventricular Fistula and Paravalvular Leak After Transcatheter Aortic Valve Implantation

Ahmed M Alabbady  1 , Sudhakar Sattur  2 , Terry D Bauch  3 , Kishore J Harjai  3
Affiliations
Case Reports

Aorto-Right Ventricular Fistula and Paravalvular Leak After Transcatheter Aortic Valve Implantation

Ahmed M Alabbady et al. JACC Case Rep. .

Abstract

Aorto-right ventricular fistula is a potentially fatal complication following transcatheter aortic valve implantation (TAVI). This paper presents a case of successful percutaneous repair of aorto-right ventricular fistula and paravalvular leak after TAVI by using 3D-printed models for pre-procedural planning, and a review of published aorto-right ventricular fistula cases to date. (Level of Difficulty: Advanced.).

Keywords: CT, computed topography; PPM, permanent pacemaker; PVL, paravalvular leak; Qp, pulmonary flow; Qs, systemic flow; TAVI, transcatheter aortic valve implantation; VSD, ventricular septal defect; aortic valve; complication; valve replacement.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Pre-Transcatheter Aortic Valve Replacement Computed Topography
Figure 2
Figure 2
Computed Tomography Scan Images Showing the Anatomy of the Aorto-Right Ventricular Fistula
Figure 3
Figure 3
3-Dimensional Model of the Patient’s Aortic Valve and Ascending Aorta Showing the Prosthetic Valve and the Aorto-Right Ventricular Fistula Location
Figure 4
Figure 4
Fluoroscopic Image of Successful Implantation of Ventricular Septal Defect Occluder Device
Figure 5
Figure 5
Final Fluoroscopic Image After Successful Implantation of Ventricular Septal Defect and 2 Amplatzer Vascular Plugs
See this image and copyright information in PMC

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