Percutaneous treatment of aortic root rupture after transcatheter aortic valve replacement procedure

: : Annular rupture is a feared complication of transcatheter aortic valve replacement (TAVR), mainly after the use of balloon-expanding prosthesis. The treatment depends on the type of annular rupture and its clinical presentation. Therapeutic approaches reported in literature include conventional surgical procedure, isolated pericardial drainage, and conservative strategy. A discussion in a multidisciplinary setting is needed, to improve outcomes after TAVR. We report the case of a sovra-annular rupture after self-expanding TAVR, with a fistula between the aortic root and the right ventricle inflow tract, treated with urgent transradial embolization by vascular plug. This is the first ever reported successful case of transcatheter percutaneous intervention for annular rupture secondary to TAVR.