Volume 97, Issue 5 pp. E736-E738
CASE REPORT

Spontaneous thrombosis of a transcatheter aortic valve replacement-induced aortic root pseudoaneurysm

Giulia Costa MD

Corresponding Author

Giulia Costa MD

The Heart Center – Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

Correspondence

Giulia Costa, The Heart Center – Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Email: [email protected]

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Nikolaj Ihlemann MD, PhD

Nikolaj Ihlemann MD, PhD

The Heart Center – Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

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Lars Søndergaard MD, DMSc

Lars Søndergaard MD, DMSc

The Heart Center – Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

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Ole De Backer MD, PhD

Ole De Backer MD, PhD

The Heart Center – Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

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First published: 04 July 2020

Abstract

Aortic annulus rupture or aortic root perforation is a rare complication of transcatheter aortic valve replacement (TAVR), requiring emergent cardiac surgery and carrying a high intraoperative mortality. Few cases can be managed conservatively, provided a strict clinical follow-up. This study describes the case of a 78-year-old patient with a degenerated bicuspid aortic valve stenosis who presented with a late aortic root perforation following TAVR, which was successfully managed applying a “watchful waiting” approach. Cardiac computed tomography imaging played a pivotal role in the diagnosis and subsequent decision on treatment and clinical follow-up.

CONFLICT OF INTEREST

The authors reported no conflict of interest.

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