Late Repair of Aortic Pseudoaneurysm After Trans-Femoral Aortic Valve Implantation.

We present the case of a patient who underwent transcatheter aortic valve implantation and subsequently developed an aortic pseudoaneurysm. During follow-up, the patient appeared clinically and radiologically stable, although the imaging modalities employed were not adequate to fully assess the lesion. Ten months later, a thoracoabdominal computed tomography scan performed for an unrelated reason revealed significant pseudoaneurysm growth, and the patient subsequently underwent complex aortic root surgery. Central Message: Different degrees of iatrogenic aortic annulus rupture after TAVI lead to different therapeutic approaches; once the acute phase is over it requires close follow-up with appropriate imaging techniques.