Conservative management of aortic root rupture complicated with cardiac tamponade following transcatheter aortic valve implantation

Figure 1 Aortic root rupture and aortic root hematoma (Case 1). A and B: Aortic valve assessment before TAVI, TEE mid esophageal long axis view (A) and short axis view (B); C and D: Aortic valve assessment post TAVI 1 min; E and F: Aortic valve assessment post-TAVI 3 min. We can observe the development of the aortic root hematoma and the pericardial effusion (arrowhead). TAVI: Transcatheter aortic valve implantation; TEE: Trans-esophageal echocardiography.

Figure 2 Aortic root rupture and cardiac tamponade (Case 2). A: Aortic valve assessment before TAVI, TEE mid esophageal long axis view; B: Aortic valve assessment after TAVI, TEE transgastric mid-ventricular short axis. Severe pericardial effusion is evidenced (arrow); C: Aortic valve assessment after TAVI, TEE mid esophageal long axis view. No signs of aortic root hematoma were observed in this case. TAVI: Transcatheter aortic valve implantation; TEE: Trans-esophageal echocardiography.