©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Apr 26, 2017; 9(4): 391-395
Published online Apr 26, 2017. doi: 10.4330/wjc.v9.i4.391
Published online Apr 26, 2017. doi: 10.4330/wjc.v9.i4.391
Conservative management of aortic root rupture complicated with cardiac tamponade following transcatheter aortic valve implantation
Luca Vannini, Rut Andrea, Manel Sabaté, Department of Cardiology, Hospital Clínic, 08036 Barcelona, Spain
Author contributions: All the authors contributed to the redaction of this manuscript.
Institutional review board statement: Since this is not a study but just a case report, there is no institutional review board statement.
Informed consent statement: The patients involved in this study gave their written informed consent.
Conflict-of-interest statement: The authors do not have conflicts of interest to declare.
Correspondence to: Rut Andrea, MD, PhD, Department of Cardiology, Hospital Clínic, C/Villarroel 170, 08036 Barcelona, Spain. randrea@clinic.ub.es
Telephone: +34-93-2279305 Fax: +34-93-2279305
Received: July 11, 2016
Peer-review started: July 11, 2016
First decision: September 2, 2016
Revised: October 18, 2016
Accepted: December 16, 2016
Article in press: December 19, 2016
Published online: April 26, 2017
Processing time: 291 Days and 7.6 Hours
Peer-review started: July 11, 2016
First decision: September 2, 2016
Revised: October 18, 2016
Accepted: December 16, 2016
Article in press: December 19, 2016
Published online: April 26, 2017
Processing time: 291 Days and 7.6 Hours
Core Tip
Core tip: Aortic root rupture during transcatheter aortic valve implantation is a rare but severe complication with high mortality rate. We described two cases of aortic root rupture where we realized a conservative management with rapid anticoagulation reversal and pericardial drainage with blood auto-transfusion. These cases highlight the utility of rapid identification of aortic root hematoma and pericardial effusion by transesophageal echocardiography. Immediate detection of this complication allows to stabilize the patient avoiding further urgent interventions.