Persistent left ventricular false aneurysm after transapical insertion of an aortic valve
Abdelsalam Elhenawy1, Rodolfo Rocha, Christopher M Feindel
1Division of Cardiac Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Journal of Cardiac Surgery
|November 16, 2010
Summary
Transcatheter aortic valve implantation (TAVI) offers an alternative for high-risk patients. A rare complication of transapical TAVI is a false left ventricular apex aneurysm.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Transcatheter aortic valve implantation (TAVI) is an alternative to conventional aortic valve replacement for high-risk surgical patients.
- TAVI can be performed via femoral or apical approaches.
- Complications associated with TAVI are increasingly reported.
Observation:
- This report details a case of transapical TAVI.
- The patient developed a false aneurysm at the left ventricular apex.
Findings:
- A false aneurysm at the left ventricular apex is a potential complication of transapical TAVI.
- This complication arises from the procedural access site.
Implications:
- Awareness of this complication is crucial for clinicians performing TAVI.
- Further research may be needed to understand the incidence and management of this specific complication.
- This case highlights the importance of vigilance for rare complications in novel procedures.
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