A Case of Successful Treatment of Left Ventricular Rupture after Transcatheter Aortic Valve Implantation

Sėkmingas kairiojo skilvelio plyšimo po transkateterinės aortos vožtuvo implantacijos gydymo atvejis
Tuleutayev R. Kim I. Abzaliyev K. Abzaliyeva S. Kolesnikov A.
4 December 2024 Vilnius University Press

Acta Medica Lituanica
2024 #31 Issue 2 339 - 350 pp.

Background: The article talks about a patient who had nonrheumatic disease of the aortic valve and had a left ventricular rupture during a transcatheter aortic valve implantation (TAVI) procedure. Methods: The discrepancy between the size of the prosthesis and the size of the native aortic valve (mismatch) led to the need to deploy a second prosthesis, which was dislocated into the left ventricular cavity and led to myocar-dial damage and the development of tamponade. Results: As a result of timely cardiac surgery and effective measures of the emergency support service, both prostheses were removed from the left ventricular cavity, the aortic valve was replaced with a “Medtronic Hankock No. 25” biological prosthesis, and the left ventricular myocardial rupture was sutured. Conclusions: In case of the development of such complications during the transcatheter aortic valve implantation (TAVI) procedure with asystole and cardiac tamponade, it was sug-gested to conduct cardioplegia (instead of chest compressions).

aortic valve , left ventricular rupture , prosthesis dislocation , TAVI , transcatheter aortic valve implantation

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Department of Cardiac Surgery, Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
Intensive Care Unit, Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
Consultative and Diagnostic Center, Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
Department of Clinical Specialties, Al-Farabi Kazakh National University, Almaty, Kazakhstan
Higher School of Medicine, Faculty of Medicine and Healthcare, Al-Farabi Kazakh National University, Almaty, Kazakhstan
Department of X-ray Endovascular Surgery, Scientific Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan

Department of Cardiac Surgery
Intensive Care Unit
Consultative and Diagnostic Center
Department of Clinical Specialties
Higher School of Medicine
Department of X-ray Endovascular Surgery

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