Journal Information
Vol. 31. Issue 2.
Pages 177-178 (February 2012)
Download PDF
More article options
Vol. 31. Issue 2.
Pages 177-178 (February 2012)
Image in cardiology
DOI: 10.1016/j.repce.2012.01.005
Open Access
Echocardiographic findings of iatrogenic septal defect during TA-AVI
Achados ecocardiograficos de comunicação interventricular iatrogênica durante TA-AVI
Paolo Giuseppe Pino, Amedeo Pergolini, Giordano Zampi
Corresponding author

Corresponding author.
Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy
Article information
Full Text
Download PDF
Figures (3)
Show moreShow less
Full Text

Peri-procedural complications may occur in transapical aortic valve implantation (TA-AVI).

On intraoperative transesophageal echocardiography, after apical puncture, the valvuloplasty catheter impinged on the interventricular septum (Fig. 1, Video 1). When the catheter was pulled back, an iatrogenic ventricular septal defect (VSD) with a clear left-to-right shunt was detected (Fig. 2, Video 2). TA-AVI was then performed without any other complications. One year later the patient was asymptomatic and in good clinical condition. The VSD was confirmed by transthoracic echocardiography (Fig. 3, Video 3), with a Qp/Qs of 1.2.

Figure 1.

Intraoperative transesophageal echocardiography (TEE): valvuloplasty catheter impinging on the interventricular septum (white arrow).

Figure 2.

Intraoperative TEE: a clear left-to-right shunt was detected on color Doppler.

Figure 3.

Follow-up TTE: the VSD was still clear and patent.

Conflicts of interest

The authors have no conflicts of interest to declare.

Copyright © 2011. Sociedade Portuguesa de Cardiologia
Revista Portuguesa de Cardiologia (English edition)

Subscribe to our newsletter

Article options
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email I declare for all purposes that the information provided herein is accurate and correct.