Korean Circ J.  2022 Feb;52(2):166-168. 10.4070/kcj.2021.0327.

Coil Embolization for Supra-annular Rupture During Transcatheter Aortic Valve Replacement Under Extracorporeal Membrane Oxygenation Support

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Korea
  • 2Department of Cardiothoracic Surgery, Cardiovascular Center, Keimyung University Dongsan Hospital, Daegu, Korea
  • 3Department of Radiology, Keimyung University Dongsan Hospital, Daegu, Korea

Abstract

no abstract available.


Figure

  • Figure 1 Computed tomography findings of aortic valve. Computed tomography showing heavily calcified leaflets at the sinus Valsalva level (A) and annulus measuring perimeter and area (B).LCC = left coronary cusp; NCC = non-coronary cusp; RCC = right coronary cusp.

  • Figure 2 Computed tomography showing the annular rupture on transcatheter aortic valve replacement. Dye leakage is observed in the rupture site on the left coronary cusp side connected to the pericardial space in the perpendicular valve view (A) and en-face valve view (B) (yellow arrows). After coil embolization, no leakage was observed in the perpendicular valve view (C) and in the en-face valve view (D).LA = left atrium; LM = left main; LV = left ventricle; PA = pulmonary artery; RA = right atrium; RV = right ventricle.

  • Figure 3 Digital subtraction angiography of annular rupture site. Angiography before coil embolization (A), during coil embolization (B) and after coil embolization (C).


Reference

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2. Azarrafiy R, Albuquerque FN, Carrillo RG, Cohen MG. Coil embolization to successfully treat annular rupture during transcatheter aortic valve replacement. Catheter Cardiovasc Interv. 2018; 92:1205–1208. PMID: 29469984.
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3. Coughlan JJ, Kiernan T, Mylotte D, Arnous S. Annular rupture during transcatheter aortic valve implantation: predictors, management and outcomes. Interv Cardiol. 2018; 13:140–144. PMID: 30443272.
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