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CASE REPORT
Year : 2017  |  Volume : 18  |  Issue : 4  |  Page : 133-136

Aorto-right ventricular fistula following percutaneous transcatheter aortic valve replacement: Case report and literature review


1 Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
2 Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine; Department of Cardiology/Cardiothoracic Surgery, Borgess Medical Center, Kalamazoo, MI, USA
3 Department of Cardiology/Cardiothoracic Surgery, Borgess Medical Center, Kalamazoo, MI, USA

Correspondence Address:
Dr. Monoj K Konda
5813, Apt 3B, Sandalwood Dr., Gull Run, Kalamazoo, MI - 49048
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_115_16

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An 88-year-old woman with a prior history of aortic stenosis and history of valvuloplasty presented with worsening symptoms of heart failure and dizziness. She underwent successful transcatheter aortic valve replacement (TAVR) without complications. Follow-up echocardiograms revealed a small fistula connecting aorta to the right ventricle. The patient was initially asymptomatic but 3 months later developed overload of the right ventricle and heart failure and chose to continue medical therapy. She died of progressive heart failure at 9 months from onset of fistula. Aorto-right ventricular fistula is a rare complication of TAVR with only four cases reported in literature thus far.


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