Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement

Transcatheter aortic valve replacement (TAVR) techniques are rapidly evolving, and results of published trials suggest that TAVR is emerging as the standard of care in certain patient subsets and a viable alternative to surgery in others. As TAVR is a relatively new procedure and continues to gain i...

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Main Authors: Muhammad Tariq Shakoor, Ashequl M. Islam, Samia Ayub
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2015/608539
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author Muhammad Tariq Shakoor
Ashequl M. Islam
Samia Ayub
author_facet Muhammad Tariq Shakoor
Ashequl M. Islam
Samia Ayub
author_sort Muhammad Tariq Shakoor
collection DOAJ
description Transcatheter aortic valve replacement (TAVR) techniques are rapidly evolving, and results of published trials suggest that TAVR is emerging as the standard of care in certain patient subsets and a viable alternative to surgery in others. As TAVR is a relatively new procedure and continues to gain its acceptance, rare procedural complications will continue to appear. Our case is about an 89-year-old male with extensive past medical history who presented with progressive exertional dyspnea and angina secondary to severe aortic stenosis. Patient got TAVR and his postoperative course was complicated by complete heart block, aorto-RV fistula, and ventricular septal defect (VSD) formation as a complication of TAVR. To the best of our knowledge, this is the third reported case of aorto-RV fistula following TAVR as a procedural complication but the first one to show three complications all together in one patient.
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institution Kabale University
issn 2090-6404
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publishDate 2015-01-01
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series Case Reports in Cardiology
spelling doaj-art-18cfab1210904cb9bccfba9bf4d872ed2025-02-03T05:59:27ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/608539608539Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve ReplacementMuhammad Tariq Shakoor0Ashequl M. Islam1Samia Ayub2Baystate Medical Center, Tufts University School of Medicine, Springfield, MA 01199, USADivision of Cardiology, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA 01199, USADepartment of Pulmonary and Critical Care, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USATranscatheter aortic valve replacement (TAVR) techniques are rapidly evolving, and results of published trials suggest that TAVR is emerging as the standard of care in certain patient subsets and a viable alternative to surgery in others. As TAVR is a relatively new procedure and continues to gain its acceptance, rare procedural complications will continue to appear. Our case is about an 89-year-old male with extensive past medical history who presented with progressive exertional dyspnea and angina secondary to severe aortic stenosis. Patient got TAVR and his postoperative course was complicated by complete heart block, aorto-RV fistula, and ventricular septal defect (VSD) formation as a complication of TAVR. To the best of our knowledge, this is the third reported case of aorto-RV fistula following TAVR as a procedural complication but the first one to show three complications all together in one patient.http://dx.doi.org/10.1155/2015/608539
spellingShingle Muhammad Tariq Shakoor
Ashequl M. Islam
Samia Ayub
Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement
Case Reports in Cardiology
title Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement
title_full Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement
title_fullStr Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement
title_full_unstemmed Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement
title_short Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement
title_sort acquired aorto right ventricular fistula following transcatheter aortic valve replacement
url http://dx.doi.org/10.1155/2015/608539
work_keys_str_mv AT muhammadtariqshakoor acquiredaortorightventricularfistulafollowingtranscatheteraorticvalvereplacement
AT ashequlmislam acquiredaortorightventricularfistulafollowingtranscatheteraorticvalvereplacement
AT samiaayub acquiredaortorightventricularfistulafollowingtranscatheteraorticvalvereplacement