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

Steffen, J.; Köhler, A.; Schwarz, F.; Sadoni, S.; Hagl, C.; Massberg, S.; Greif, M.

Journal of Heart Valve Disease 25(4): 491-493

2016

ISSN/ISBN: 0966-8519
PMID: 28009955
Document Number: 688400
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.

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