Percutaneous closure of a combined ventricular septal defect and paravalvular regurgitation after transcatheter aortic valve implantation: Case report

NHM Kooistra; GJ Krings; PR Stella; M Voskuil

doi:10.1093/ehjcr/yty013

Percutaneous closure of a combined ventricular septal defect and paravalvular regurgitation after transcatheter aortic valve implantation: Case report

NHM Kooistra, GJ Krings, PR Stella, M Voskuil

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Introduction: Transcatheter aortic valve implantation (TAVI) is a well-accepted alternative treatment for intermediate or high-risk patients with symptomatic severe native aortic valve stenosis. As the use of TAVI increases, there is a continuous growing insight into in the technical possibilities of the procedure and a parallel decrease in complications. A serious but rare complication of TAVI is a ventricular septal defect (VSD).

Case presentation: We report a case of a 90-year-old woman who underwent an uncomplicated TAVI procedure. She was readmitted within 2 weeks because of dyspnoea and oedema in the legs caused by acute left- and right-sided heart failure. Echocardiography showed a VSD of 1 cm, and mild to moderate paravalvular aortic regurgitation (PAR).

Discussion: This is the first report in which post-TAVI both a VSD and PAR are successfully repaired via a single percutaneous procedure.

Original language	English
Article number	yty013
Pages (from-to)	1-6
Number of pages	6
Journal	European Heart Journal - Case Reports
Volume	2
Issue number	1
DOIs	https://doi.org/10.1093/ehjcr/yty013
Publication status	Published - 1 Mar 2018

Keywords

Case report
Paravalvular aortic regurgitation
Percutaneous closure
TAVI
Ventricular septal defect

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title = "Percutaneous closure of a combined ventricular septal defect and paravalvular regurgitation after transcatheter aortic valve implantation: Case report",

abstract = "Introduction: Transcatheter aortic valve implantation (TAVI) is a well-accepted alternative treatment for intermediate or high-risk patients with symptomatic severe native aortic valve stenosis. As the use of TAVI increases, there is a continuous growing insight into in the technical possibilities of the procedure and a parallel decrease in complications. A serious but rare complication of TAVI is a ventricular septal defect (VSD).Case presentation: We report a case of a 90-year-old woman who underwent an uncomplicated TAVI procedure. She was readmitted within 2 weeks because of dyspnoea and oedema in the legs caused by acute left- and right-sided heart failure. Echocardiography showed a VSD of 1 cm, and mild to moderate paravalvular aortic regurgitation (PAR).Discussion: This is the first report in which post-TAVI both a VSD and PAR are successfully repaired via a single percutaneous procedure.",

keywords = "Case report, Paravalvular aortic regurgitation, Percutaneous closure, TAVI, Ventricular septal defect",

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T1 - Percutaneous closure of a combined ventricular septal defect and paravalvular regurgitation after transcatheter aortic valve implantation

T2 - Case report

AU - Kooistra, NHM

AU - Krings, GJ

AU - Stella, PR

AU - Voskuil, M

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Introduction: Transcatheter aortic valve implantation (TAVI) is a well-accepted alternative treatment for intermediate or high-risk patients with symptomatic severe native aortic valve stenosis. As the use of TAVI increases, there is a continuous growing insight into in the technical possibilities of the procedure and a parallel decrease in complications. A serious but rare complication of TAVI is a ventricular septal defect (VSD).Case presentation: We report a case of a 90-year-old woman who underwent an uncomplicated TAVI procedure. She was readmitted within 2 weeks because of dyspnoea and oedema in the legs caused by acute left- and right-sided heart failure. Echocardiography showed a VSD of 1 cm, and mild to moderate paravalvular aortic regurgitation (PAR).Discussion: This is the first report in which post-TAVI both a VSD and PAR are successfully repaired via a single percutaneous procedure.

AB - Introduction: Transcatheter aortic valve implantation (TAVI) is a well-accepted alternative treatment for intermediate or high-risk patients with symptomatic severe native aortic valve stenosis. As the use of TAVI increases, there is a continuous growing insight into in the technical possibilities of the procedure and a parallel decrease in complications. A serious but rare complication of TAVI is a ventricular septal defect (VSD).Case presentation: We report a case of a 90-year-old woman who underwent an uncomplicated TAVI procedure. She was readmitted within 2 weeks because of dyspnoea and oedema in the legs caused by acute left- and right-sided heart failure. Echocardiography showed a VSD of 1 cm, and mild to moderate paravalvular aortic regurgitation (PAR).Discussion: This is the first report in which post-TAVI both a VSD and PAR are successfully repaired via a single percutaneous procedure.

KW - Case report

KW - Paravalvular aortic regurgitation

KW - Percutaneous closure

KW - TAVI

KW - Ventricular septal defect

UR - https://academic.oup.com/ehjcr/article/2/1/1/4898123

U2 - 10.1093/ehjcr/yty013

DO - 10.1093/ehjcr/yty013

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AN - SCOPUS:85073520761

SN - 2514-2119

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JF - European Heart Journal - Case Reports

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M1 - yty013

ER -

Percutaneous closure of a combined ventricular septal defect and paravalvular regurgitation after transcatheter aortic valve implantation: Case report

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