| Abstract: | Aortic root rupture and cardiac tamponade during transcatheter aortic valve implantation is a frightening complication with high mortality rate. A conservative management of this complication could represent an initial strategy,especially in high-risk patients,to avoid emergent cardiac surgery. This conservative management includes:Immediate detection of pericardial effusion by echocardiography,a fast instauration of pericardial drainage,auto-transfusion and anticoagulation reversal. We describe two cases of patients who suffered this complication and were treated successfully with this initial approach. |
