Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Cardiology
Volume 2017, Article ID 1834394, 3 pages
https://doi.org/10.1155/2017/1834394
Case Report

Aorto-Right Ventricular Shunt after TAVR: Rare Complication of Common Procedure

Department of Cardiology, Texas Heart Institute, Houston, TX, USA

Correspondence should be addressed to Ahmad Qurie; moc.liamg@98eiruqdamha

Received 24 May 2017; Accepted 23 August 2017; Published 28 September 2017

Academic Editor: Ertuğurul Ercan

Copyright © 2017 Abdelkader Almanfi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The primary treatment of symptomatic aortic stenosis is aortic valve replacement. Instead of open chest surgery, transcatheter aortic valve replacement (TAVR) is an alternative intervention for high-risk surgical candidates. Clinical Case. A 92-year-old male presented with progressive exertional dyspnea and recurrent syncopal attacks secondary to severe AS. The patient underwent successful transfemoral TAVR with 29 mm Edwards SAPIEN XT valve. His postoperative course was complicated by aorto-right ventricular shunt. The patient’s clinical course was followed up for one year. Conclusion. This case reports the incidence and clinical course of one of the rare complications of TAVR, aorto-right ventricular fistula. Conservative medical management is appropriate in hemodynamically stable patients with this specific complication.