Aorto-right Ventricular Fistula Following Percutaneous Transcatheter Aortic Valve Replacement: Case Report and Literature Review

• Published in: Heart views Vol. 18; no. 4; pp. 133 - 136
• Main Authors: Konda, Monoj K, Kalavakunta, Jagadeesh K, Pratt, Jerry W, Martin, David, Gupta, Vishal
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.10.2017; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Aortic valve stenosis; Aorto-right ventricular fistula; Calcification; Cardiology; Cardiovascular disease; Care and treatment; Case Report; Case reports; Coronary vessels; Diagnosis; Dyspnea; Echocardiography; Electrocardiography; Endocarditis; Fistula; Fistulas; Heart failure; Heart surgery; Heart valve replacement; Hospice care; Internal medicine; Medicine; Patients; Prostheses; Sinuses; Surgeons; transcatheter aortic valve replacement; transcatheter aortic valve replacement complications; Ultrasonic imaging; transcatheter aortic valve replacement; heart failure; transcatheter aortic valve replacement complications; Aorto-right ventricular fistula
• ISSN: 1995-705X; 0976-5123
• DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_115_16

An 88-year-old woman with a prior history of aortic stenosis and history of valvuloplasty presented with worsening symptoms of heart failure and dizziness. She underwent successful transcatheter aortic valve replacement (TAVR) without complications. Follow-up echocardiograms revealed a small fistula connecting aorta to the right ventricle. The patient was initially asymptomatic but 3 months later developed overload of the right ventricle and heart failure and chose to continue medical therapy. She died of progressive heart failure at 9 months from onset of fistula. Aorto-right ventricular fistula is a rare complication of TAVR with only four cases reported in literature thus far.