{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T07:10:54Z","timestamp":1777014654506,"version":"3.51.4"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008990","name":"Zhejiang Provincial Science and Technology Program","doi-asserted-by":"publisher","award":["2024C03024"],"award-info":[{"award-number":["2024C03024"]}],"id":[{"id":"10.13039\/501100008990","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019533","name":"National Science Fund for Distinguished Young Scholars of China","doi-asserted-by":"publisher","award":["82425007"],"award-info":[{"award-number":["82425007"]}],"id":[{"id":"10.13039\/501100019533","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017594","name":"Zhejiang Province Science and Technology Innovation Leading Talents Project","doi-asserted-by":"publisher","award":["2023R5236"],"award-info":[{"award-number":["2023R5236"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transcatheter aortic valve implantation (TAVI) is an effective and safe treatment for severe aortic stenosis. Despite advancements reducing complications, rare life-threatening events like ventricular perforation remain significant challenges. This case details the management of an acute left ventricular perforation during TAVI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>A 74-year-old woman with symptomatic severe bicuspid aortic stenosis underwent transfemoral TAVI. Sudden haemodynamic collapse occurred during the device delivery. Transoesophageal echocardiography demonstrated massive pericardial effusion, attributed to guidewire-induced left ventricular perforation. The patient maintained haemodynamic stability with pericardial drainage on cardiopulmonary bypass (CPB). However, pericardial effusion recurred after transitioning from CPB to extracorporeal membrane oxygenation support. Cardiac surgeons repaired the laceration at the apex and achieved haemostasis through minimally invasive left anterior thoracotomy, successfully resolving the intraoperative crisis and rescuing the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case illustrates that ventricular perforation\/rupture during TAVI, while rare, constitutes a fatal complication. To mitigate this risk, enhanced preoperative risk stratification and intraprocedural monitoring for left or right ventricular perforation\/rupture are imperative. Prompt recognition and intervention\u2014including pericardiocentesis, CPB initiation, and surgical haemostasis\u2014are critical upon occurrence. Innovatively employing minimally invasive left anterior thoracotomy for repair in this case significantly reduced surgical trauma, facilitating rapid postoperative recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag083","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T12:37:50Z","timestamp":1770122270000},"source":"Crossref","is-referenced-by-count":0,"title":["Emergent surgical repair via minimally invasive left anterior thoracotomy for left ventricular perforation during transfemoral transcatheter aortic valve implantation: a case report"],"prefix":"10.1093","volume":"10","author":[{"given":"Feiyu","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Cardiology, the Second Affiliated Hospital, School of Medicine, 88 Jiefang Road, Hangzhou 310009, Zhejiang Province ,","place":["China"]},{"name":"State Key Laboratory of Transvascular Implantation Devices , 456 Qidi Road, Hangzhou 311202, Zhejiang Province, China"},{"name":"Heart Regeneration and Repair Key Laboratory of Zhejiang Province , 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qifeng","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, the Second Affiliated Hospital, School of Medicine, 88 Jiefang Road, Hangzhou 310009, Zhejiang Province ,","place":["China"]},{"name":"State Key Laboratory of Transvascular Implantation Devices , 456 Qidi Road, Hangzhou 311202, Zhejiang Province, China"},{"name":"Heart Regeneration and Repair Key Laboratory of Zhejiang Province , 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China"},{"name":"Transvascular Implantation Devices Research Institute , 4\/F, Block A, Bei'ao Building, 768 Jianta Street, Puyan Subdistrict, Hangzhou 310053, Zhejiang Province, 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