Author: Christian Loewe, Vienna, Austria
Body Region: Cardiovascular
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).