AI Article Synopsis

  • The case report details a rare occurrence of a ventricular septal defect (VSD) in an 88-year-old male following transcatheter aortic valve implantation (TAVI) for aortic stenosis.
  • Initially asymptomatic, the patient faced heart failure two weeks later, leading to imaging that showed worsening of the VSD.
  • Surgical repair with a bovine pericardial patch was performed, emphasizing the need for careful monitoring and tailored treatment plans for TAVI-related complications.

Article Abstract

This case report describes the rare occurrence of a ventricular septal defect (VSD) after transcatheter aortic valve implantation (TAVI) in an 88-year-old male patient with aortic stenosis and other comorbidities. Initially asymptomatic, the patient was discharged but readmitted 2 weeks later with decompensated heart failure. Transesophageal echocardiography (TEE) revealed an increase in the size of the VSD and right ventricular dilation. Surgical intervention was chosen over percutaneous closure due to the patient's condition. A bovine pericardial patch was successfully used for repair. This case highlights the importance of vigilant post-TAVI monitoring and individualized treatment for TAVI-related complications.

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Source
http://dx.doi.org/10.1213/XAA.0000000000001790DOI Listing

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