Annular rupture during transcatheter aortic valve replacement in a long-term corticosteroid user: a case report.

Autor:	Nishiori, Hironobu, Matsuura, Kaoru, Yakita, Yasunori, Kanda, Tomoyoshi, Kitahara, Hideki, Yamashita, Daichi, Kobayashi, Yoshio, Matsumiya, Goro
Předmět:	HEART valve prosthesis implantation PULMONARY fibrosis AORTIC valve transplantation TRANSESOPHAGEAL echocardiography AORTIC stenosis
Zdroj:	Journal of Surgical Case Reports; May2023, Vol. 2023 Issue 5, p1-3, 3p
Abstrakt:	A 74-year-old woman with a history of interstitial pneumonia, who had been taking oral corticosteroids for the past 9 years, was diagnosed with severe aortic stenosis. The patient underwent transfemoral transcatheter aortic valve replacement (TAVR) with a balloon-expandable valve under local anesthesia. After deploying a 26-mm SAPIEN 3 valve with 1.5 ml less balloon inflation, transesophageal echocardiography revealed a hemorrhage in the aortic annulus. Intraoperative angiography revealed a small contrast leakage around the ascending aorta. Emergent surgical aortic valve replacement was performed successfully, with a tear at the non-left commissure closed using interrupted sutures. The patient was discharged on postoperative day 14 with no paravalvular leakage. Chronic corticosteroid use may be a risk factor for annular ruptures during TAVR. Careful balloon dilation may be necessary, especially when balloon-expandable valves are used in patients receiving long-term corticosteroids. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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