Severe pain and swelling in the right groin

1. Patient presentation

• A 72-year-old woman was admitted because of dispnea and clinical signs of heart failure.
• She presented with shortness of breath and reduced physical ability.
• Echocardiography revealed severe aortic stenosis, reduced left ventricular function and pleural effusion.
• Based on the overall patient’s condition, transcatheter aortic valve repair (TAVI) was indicated by the heart team as the treatment of choice.
• The TAVI procedure was performed as indicated and planned (Figure 1a + b).
• During the implantation, the introduction of the large device via the right iliac arteries was difficult, but finally possible.
• After the end of the procedure, the patient reported severe pain at the right groin.

An urgent CT angiogram was performed (Figure 2a-d).