Successful closure of transcatheter aortic valve replacement-induced Gerbode defect with valve-in-valve technique: A case report.

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Serveur académique Lausannois

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Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1002/ccd.30882

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info:eu-repo/semantics/altIdentifier/pmid/37855208

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info:eu-repo/semantics/altIdentifier/eissn/1522-726X

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_71A249CFC2F59

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Serveur Académique Lausannois

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Université de Lausanne et CHUV

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info:eu-repo/semantics/openAccess , CC BY-NC-ND 4.0 , https://creativecommons.org/licenses/by-nc-nd/4.0/

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Female; Humans; Aged, 80 and over; Transcatheter Aortic Valve Replacement/adverse effects; Transcatheter Aortic Valve Replacement/methods; Aortic Valve/diagnostic imaging; Aortic Valve/surgery; Aortic Valve Stenosis/diagnostic imaging; Aortic Valve Stenosis/surgery; Treatment Outcome; Heart Valve Prosthesis Implantation/adverse effects; Heart Valve Prosthesis Implantation/methods; Heart Valve Prosthesis; AOD-aortic disease; AVDP-aortic valve disease; TVI-transcatheter valve implantation; percutaneous intervention

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Valva aortae

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I. Skalidis et al., « Successful closure of transcatheter aortic valve replacement-induced Gerbode defect with valve-in-valve technique: A case report. », Serveur académique Lausannois, ID : 10.1002/ccd.30882

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We present the first documented case of a successful closure of a transcatheter aortic valve replacement (TAVR)-induced Gerbode defect using a valve-in-valve approach. A 90-year-old female with severe aortic stenosis underwent TAVR. Following post-dilatation, the patient experienced hemodynamic deterioration and collapse due to tamponade and sub-annular rupture leading to hemodynamic deterioration and the development of a Gerbode defect with communication between the left ventricle and right atrium. Hemodynamic stabilization was achieved through pericardiocentesis, followed by the low implantation of a second valve, effectively sealing the rupture. This case showcases a valuable alternative for managing rare challenging complications during TAVR procedures.

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