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Unexpected left ventricular free-wall rupture following an aortic catheter-valve implantation

Ferrari, Enrico ; Rizzo, Elena ; Sulzer, Christopher ; von Segesser, Ludwig Karl

In: European Journal of Cardio-Thoracic Surgery, 2010, vol. 37, no. 1, p. 242-244

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    Titre
    • Unexpected left ventricular free-wall rupture following an aortic catheter-valve implantation
    Auteur
    • Ferrari, Enrico. Department of Cardio-Vascular Surgery, University Hospital of Lausanne (CHUV), CH-1011, Lausanne, Switzerland
    • Rizzo, Elena. Department of Radiology, University Hospital of Lausanne (CHUV), CH-1011, Lausanne, Switzerland
    • Sulzer, Christopher. Department of Cardiac Anaesthesia, University Hospital of Lausanne (CHUV), CH-1011, Lausanne, Switzerland
    • von Segesser, Ludwig Karl. Department of Cardio-Vascular Surgery, University Hospital of Lausanne (CHUV), CH-1011, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • European Journal of Cardio-Thoracic Surgery, 2010, vol. 37, no. 1, p. 242-244. Elsevier Science B.V.
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:289242
    Summary
    Our experience with the Sapien trans-apical aortic valve (Edwards Lifesciences Inc., Irvine, CA, USA) has been straightforward without per-procedural mortality except in 1/16 consecutive cases who developed non-apical haemorrhage early after valve implantation. We describe the case of an 84-year-old female carrying a very high operative risk (logistic EuroScore of 44%), who underwent a trans-apical stent-valve implantation for severe and symptomatic aortic valve stenosis (23mm). Due to massive blood loss, an emergency sternotomy and cannulation for cardiopulmonary bypass resuscitation were necessary to treat (without success) an unusual and unexpected subaortic left ventricular free-wall rupture that occurred few minutes after the stent-valve positioning and implantation. To the best of our knowledge, this is the first described case of a left ventricular free-wall rupture occurring after an otherwise non-complicated standard catheter-based aortic valve replacement