CTICasesLeft ventricular perforation post-TAVR
Imaging findings
Systolic phase of a gated CT shows a subtle linear contrast leak from the left ventricular lateral wall into the pericardial space, which subsequently progressed to a larger contrast collection and hemopericardium.
Key takeaways
LV free wall perforation is a rare, life-threatening complication of transcatheter valve procedures. It is caused by mechanical trauma from stiff guidewires or catheters and requires close surveillance or surgical drainage.
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