Periaortic hematoma after transcatheter aortic valve replacement: Description of a new complication

Philippe Généreux, George R. Reiss, Susheel K. Kodali, Mathew R. Williams, Rebecca T. Hahn

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

We report a case series of three patients with periaortic hematomas following transcatheter aortic valve replacement (TAVR). The TAVRs were performed by either transapical 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.

Original languageEnglish (US)
Pages (from-to)766-776
Number of pages11
JournalCatheterization and Cardiovascular Interventions
Volume79
Issue number5
DOIs
StatePublished - Apr 1 2012
Externally publishedYes

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Hematoma
Aortic Valve
Body Weight
Hypertension
Equipment and Supplies
Transcatheter Aortic Valve Replacement
Therapeutics

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Généreux, Philippe ; Reiss, George R. ; Kodali, Susheel K. ; Williams, Mathew R. ; Hahn, Rebecca T. / Periaortic hematoma after transcatheter aortic valve replacement : Description of a new complication. In: Catheterization and Cardiovascular Interventions. 2012 ; Vol. 79, No. 5. pp. 766-776.
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Periaortic hematoma after transcatheter aortic valve replacement : Description of a new complication. / Généreux, Philippe; Reiss, George R.; Kodali, Susheel K.; Williams, Mathew R.; Hahn, Rebecca T.

In: Catheterization and Cardiovascular Interventions, Vol. 79, No. 5, 01.04.2012, p. 766-776.

Research output: Contribution to journalArticle

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