• Satoru Fujii, Mohammed Tarabzoni, Pantelis Diamantouros, Rodrigo Bagur, and ChuMichael W AMWADivision of Cardiac Surgery, Department of Surgery, Western University, London, Ontario, Canada..
• From the Department of Anesthesiology, London Health Sciences Centre, Western University, London, Ontario, Canada.
• A A Pract. 2024 Jun 1; 18 (6): e01790e01790.

AbstractThis case report describes the rare occurrence of a ventricular septal defect (VSD) after transcatheter aortic valve implantation (TAVI) in an 88-year-old male patient with aortic stenosis and other comorbidities. Initially asymptomatic, the patient was discharged but readmitted 2 weeks later with decompensated heart failure. Transesophageal echocardiography (TEE) revealed an increase in the size of the VSD and right ventricular dilation. Surgical intervention was chosen over percutaneous closure due to the patient's condition. A bovine pericardial patch was successfully used for repair. This case highlights the importance of vigilant post-TAVI monitoring and individualized treatment for TAVI-related complications.Copyright © 2024 International Anesthesia Research Society.

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