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World J Cardiol. 2017 Apr 26;9(4):391-395. doi: 10.4330/wjc.v9.i4.391.

Conservative management of aortic root rupture complicated with cardiac tamponade following transcatheter aortic valve implantation.

World journal of cardiology

Luca Vannini, Rut Andrea, Manel Sabaté

Affiliations

  1. Luca Vannini, Rut Andrea, Manel Sabaté, Department of Cardiology, Hospital Clínic, 08036 Barcelona, Spain.

PMID: 28515859 PMCID: PMC5411975 DOI: 10.4330/wjc.v9.i4.391

Abstract

Aortic root rupture and cardiac tamponade during transcatheter aortic valve implantation is a frightening complication with high mortality rate. A conservative management of this complication could represent an initial strategy, especially in high-risk patients, to avoid emergent cardiac surgery. This conservative management includes: Immediate detection of pericardial effusion by echocardiography, a fast instauration of pericardial drainage, auto-transfusion and anticoagulation reversal. We describe two cases of patients who suffered this complication and were treated successfully with this initial approach.

Keywords: Aortic valve stenosis; Cardiac tamponade; Catheters; Heart valve prosthesis; Prosthesis implantation

Conflict of interest statement

Conflict-of-interest statement: The authors do not have conflicts of interest to declare.

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