Successful closure of transcatheter aortic valve replacement‐induced Gerbode defect with valve‐in‐valve technique: A case report

Author:

Skalidis Ioannis12ORCID,Hamilos Michalis1,Petousis Stylianos1,Kochiadakis George1,Skalidis Emmanouil1

Affiliation:

1. Department of Cardiology University Hospital of Heraklion Crete Greece

2. Department of Cardiology Lausanne University Hospital Lausanne Switzerland

Abstract

AbstractWe present the first documented case of a successful closure of a transcatheter aortic valve replacement (TAVR)‐induced Gerbode defect using a valve‐in‐valve approach. A 90‐year‐old female with severe aortic stenosis underwent TAVR. Following post‐dilatation, the patient experienced hemodynamic deterioration and collapse due to tamponade and sub‐annular rupture leading to hemodynamic deterioration and the development of a Gerbode defect with communication between the left ventricle and right atrium. Hemodynamic stabilization was achieved through pericardiocentesis, followed by the low implantation of a second valve, effectively sealing the rupture. This case showcases a valuable alternative for managing rare challenging complications during TAVR procedures.

Publisher

Wiley

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging,General Medicine

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