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Vol. 61. Issue 4.
Pages 341-344 (July - August 2019)
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Vol. 61. Issue 4.
Pages 341-344 (July - August 2019)
Brief report
DOI: 10.1016/j.rxeng.2019.06.001
Aortic root rupture and acquired intracardiac shunt after transcatheter aortic valve implantation
Rotura de raíz aórtica con formación de shunt intracardíaco secundaria a implante valvular aórtico transcatéter
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I. Dieste Grañenaa,
Corresponding author
nachodieste92@gmail.com

Corresponding author.
, M.E. Guillén Subiránb, M.C. Ferrer Graciac, E. Angulo Hervíasb
a Médico interno residente, Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain
b Facultativos especialistas de área, Sección de Radiología Cardiotorácica, Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain
c Sección de Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Abstract

Transcatheter aortic valve implantation (TAVI) is an alternative to surgical valve replacement in patients with high surgical risk. Although TAVI is becoming more and more common, it is not without complications. Rupture of the aortic root after implantation is an uncommon, but lethal complication; few cases have been described in the literature. Multidetector computed tomography is fundamental before TAVI to evaluate factors that predispose to complications; however, its role after the procedure is still controversial.

Keywords:
Heart shunt
TAVI
Aortic valve
Resumen

El implante transcatéter de válvula aórtica, más conocido por su acrónimo en inglés TAVI (Transcatheter Aortic Valve Implantation) es una alternativa al recambio valvular quirúrgico en pacientes inoperables o con alto riesgo quirúrgico. Sin embargo, es una técnica cada vez más utilizada, que no está exenta de complicaciones. La rotura de la raíz aórtica postimplante es una complicación infrecuente, pero letal, y con pocos casos descritos en la bibliografía. La tomografía computarizada multidetector es fundamental antes del procedimiento TAVI para valorar factores predisponentes a la aparición de complicaciones, mientras que su papel posprocedimiento sigue siendo controvertido.

Palabras clave:
Shunt cardíaco
TAVI
Válvula aórtica

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