Open Access

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

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Date: 21 February 2018
Journal: European Heart Journal - Case Reports , Volume 2 , Issue 1
Authors: N. Kooistra , G. Krings , P. Stella , M. Voskuil

ESC Journals

AbstractIntroduction

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.

About the contributors

Nynke H M Kooistra

Role: Author

Gregor J Krings

Role: Author

Pieter R Stella

Role: Author