Conflict of interest: Philippe Généreux has received speaker honoraria from Edwards Lifesciences. Mathew R. Williams and Susheel Kodali have received consulting fees from Edwards Lifesciences. The other authors report no conflicts.
Valvular and Structural Heart Diseases
Periaortic hematoma after transcatheter aortic valve replacement: Description of a new complication†
Article first published online: 12 DEC 2011
Copyright © 2011 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 79, Issue 5, pages 766–776, 1 April 2012
How to Cite
Généreux, P., Reiss, G. R., Kodali, S. K., Williams, M. R. and Hahn, R. T. (2012), Periaortic hematoma after transcatheter aortic valve replacement: Description of a new complication. Cathet. Cardiovasc. Intervent., 79: 766–776. doi: 10.1002/ccd.23242
- Issue published online: 27 MAR 2012
- Article first published online: 12 DEC 2011
- Accepted manuscript online: 29 JUL 2011 11:13AM EST
- Manuscript Accepted: 15 MAY 2011
- Manuscript Revised: 2 MAY 2011
- Manuscript Received: 16 MAR 2011
- periaortic hematoma;
- aortic stenosis;
- TAVR complication
We report a case series of three patients with periaortic hematomas following transcatheter aortic valve replacement (TAVR). The TAVRs were performed by either trans-apical or transfemoral approach. An intraprocedural transesophageal echocardiogram (TEE) was performed in all patients. Clinical features of all three cases included advanced age, female gender, and small body weight. In addition, the following characteristics were present in all cases: presence of bulky calcification of the noncoronary cusp (NCC) of the aortic valve, mismatch between the annulus and device diameter, and severe intraprocedural hypertension immediately following TAVR. These characteristics may be potential causative factors. Early recognition of this complication by intra-procedural TEE was integral to the initiation of rapid and appropriate therapy, resulting in a favorable outcome. Herein, we present possible theories for the occurrence of this rare complication. © 2011 Wiley Periodicals, Inc.