Related Experiment Video

Updated: Jul 23, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

389

Transannular rupture during transcatheter aortic valve replacement: management in a patient with prior cardiac

Ryaan El-Andari1, Mansour Alomran1, Andrew O'Connell1

  • 1Division of Cardiac Surgery, University of Alberta, Edmonton, T6G 2R3, AB, Canada.

Future Cardiology
|July 20, 2023
PubMed

Insights

Annular rupture after transcatheter aortic valve replacement is rare but serious. This case study details the successful surgical repair of this complication in an elderly patient with prior coronary artery bypass grafting.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Annular rupture is a rare but severe complication of transcatheter aortic valve replacement (TAVR), occurring in approximately 1% of cases.
  • Management of annular rupture typically involves surgical intervention and is associated with high mortality rates.
  • Repairing annular rupture in patients with prior coronary artery bypass grafting (CABG) presents unique challenges due to increased surgical complexity and reoperative risks.

Observation:

  • An 80-year-old male with a history of CABG experienced annular rupture immediately following a TAVR procedure.
  • The patient required urgent surgical intervention to manage this rare and high-risk complication.
  • The case highlights the difficulties associated with reoperative cardiac surgery in patients with prior CABG.

Findings:

  • Successful surgical repair of annular rupture was achieved in this complex patient.
  • The specific surgical approach employed for the repair is described.
  • This case demonstrates a viable strategy for managing a life-threatening complication in a challenging patient population.

Implications:

  • This case provides valuable insights into the surgical management of annular rupture post-TAVR, particularly in patients with prior CABG.
  • The findings may inform strategies for improving outcomes in similar high-risk scenarios.
  • Successful repair underscores the importance of experienced surgical teams in managing complex cardiac interventions.

Keywords:
CABGTAVRannular ruptureaortic valvereoperation

More Related Videos

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

11.7K
Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy07:02

Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy

Published on: September 9, 2020

6.4K

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
10
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
25
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
14
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
31
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13