Treatment of an unusual complication of transfemoral TAVI with a new technique: successful occlusion of ventricular septal defect by opening the closure device in the ascending aorta

• Published in: Cardiovascular journal of South Africa Vol. 26; no. 1; p. e8
• Main Authors: Dursun, H, Erdal, C, Ergene, O, Unal, B, Tanriverdi, Z, Kaya, D
• Format: Journal Article
• Language: English
• Published: South Africa 01.01.2015
• Subjects: Aged; Aortic Valve Stenosis - diagnosis; Aortic Valve Stenosis - physiopathology; Aortic Valve Stenosis - therapy; Cardiac Catheterization - adverse effects; Cardiac Catheterization - instrumentation; Echocardiography, Doppler, Color; Female; Heart Injuries - diagnosis; Heart Injuries - etiology; Heart Injuries - therapy; Heart Valve Prosthesis; Heart Valve Prosthesis Implantation - adverse effects; Heart Valve Prosthesis Implantation - instrumentation; Heart Valve Prosthesis Implantation - methods; Humans; Prosthesis Design; Septal Occluder Device; Tomography, X-Ray Computed; Treatment Outcome; Ventricular Septum - diagnostic imaging; Ventricular Septum - injuries
• ISSN: 1680-0745
• DOI: 10.5830/CVJA-2014-077

Ventricular septal defect (VSD) is a rare complication of transcatheter aortic valve implantation (TAVI) via the transfemoral approach. Aetiological factors leading to VSD have been reported as post-balloon dilatation, oversized prosthesis implantation, and severe calcification of the aorta. However, we present a case of VSD occurring after TAVI with an Edwards Sapien XT prosthesis without any distinct aetiological factors. We used a new technique for closure of the significant VSD; opening the left ventricular disc of the closure device in the ascending aorta and successfully implanting the device without any damage to the bioprosthetic valve.