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You are here: Contents > 2016 > Volume 25 Number 4 July 2016 > CASE REPORTS > A Left-to-Right Shunt After Transfemoral TAVR Using Edwards SAPIEN 3

A Left-to-Right Shunt After Transfemoral TAVR Using Edwards SAPIEN 3

Julius Steffen1,4, Anton Köhler1, Florian Schwarz2, Sebastian Sadoni3, Christian Hagl3, Steffen Massberg1, Martin Greif1

1Department of Cardiology, Ludwig Maximilians University (LMU), Munich, Germany
2Department of Radiology, Ludwig Maximilians University (LMU), Munich, Germany
3Department of Cardiac Surgery, Ludwig Maximilians University (LMU), Munich, Germany
4Electrronic correspondence: julius.steffen@med.uni-muenchen.de
Transcatheter aortic valve replacement (TAVR) is used for the treatment of aortic stenosis (AS). Besides major bleeding, conduction blocks, stroke or atrial fibrillation, complications include cardiac perforation with possible left-to-right-shunts. Herein is reported the sixth case of a left-to-right shunt in an 87-year-old man who underwent TAVR using a 29 mm Edwards SAPIEN S3 prosthesis to treat AS. Soon after the procedure, a small channel evolving from the right coronary cusp could be detected on echocardiography. The patient was managed medically.

The Journal of Heart Valve Disease 2016;25:491-493


A Left-to-Right Shunt After Transfemoral TAVR Using Edwards SAPIEN 3

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