“Unlucky punch”: unexpected annular rupture during TAVR and successful treatment

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Abstract

Although rare, annular rupture in TAVR is a feared and often unpredictable complication with relevant impact on in-hospital prognosis. Severe annular calcification is a common risk factor for annular rupture. We report on a case of annular rupture during TAVR with a balloon-expanded prosthesis in the absence of any annular calcification in the planning CT scan and illustrate the proposed pathomechanism as well as its successful immediate surgical management.

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Echocardiography, 38, 4, Wiley-Blackwell, Oxford u.a., 2021, https://doi.org/10.1111/echo.15024

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