{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:33:55Z","timestamp":1782603235212,"version":"3.54.5"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T00:00:00Z","timestamp":1685404800000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 74-year-old woman with a history of interstitial pneumonia, who had been taking oral corticosteroids for the past 9\u00a0years, was diagnosed with severe aortic stenosis. The patient underwent transfemoral transcatheter aortic valve replacement (TAVR) with a balloon-expandable valve under local anesthesia. After deploying a 26-mm SAPIEN 3 valve with 1.5\u00a0ml less balloon inflation, transesophageal echocardiography revealed a hemorrhage in the aortic annulus. Intraoperative angiography revealed a small contrast leakage around the ascending aorta. Emergent surgical aortic valve replacement was performed successfully, with a tear at the non-left commissure closed using interrupted sutures. The patient was discharged on postoperative day 14 with no paravalvular leakage. Chronic corticosteroid use may be a risk factor for annular ruptures during TAVR. Careful balloon dilation may be necessary, especially when balloon-expandable valves are used in patients receiving long-term corticosteroids.<\/jats:p>","DOI":"10.1093\/jscr\/rjad317","type":"journal-article","created":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T21:41:27Z","timestamp":1685482887000},"source":"Crossref","is-referenced-by-count":2,"title":["Annular rupture during transcatheter aortic valve replacement in a long-term corticosteroid user: a case report"],"prefix":"10.1093","volume":"2023","author":[{"given":"Hironobu","family":"Nishiori","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaoru","family":"Matsuura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunori","family":"Yakita","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyoshi","family":"Kanda","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Kitahara","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daichi","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshio","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goro","family":"Matsumiya","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Chiba University Hospital , Chiba , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,30]]},"reference":[{"key":"2023053021411995900_ref1","doi-asserted-by":"crossref","first-page":"140","DOI":"10.15420\/icr.2018.20.2","article-title":"Annular rupture during transcatheter aortic valve implantation: predictors, management and outcomes","volume":"13","author":"Coughlan","year":"2018","journal-title":"Interv Cardiol"},{"key":"2023053021411995900_ref2","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1002\/ccd.26014","article-title":"Vascular complications in steroid treated patients undergoing transfemoral aortic valve implantation","volume":"87","author":"Fink","year":"2016","journal-title":"Catheter Cardiovasc Interv"},{"key":"2023053021411995900_ref3","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1016\/j.amjcard.2004.02.036","article-title":"Effects of long-term prednisone (&gt; or =5 mg) use on outcomes and complications of percutaneous coronary intervention","volume":"93","author":"Ellis","year":"2004","journal-title":"Am J Cardiol"},{"key":"2023053021411995900_ref4","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1002\/ccd.28332","article-title":"Prognostic impact and periprocedural complications of chronic steroid therapy in patients following transcatheter aortic valve replacement: propensity-matched analysis from the Japanese OCEAN registry","volume":"95","author":"Koyama","year":"2020","journal-title":"Catheter Cardiovasc Interv"},{"key":"2023053021411995900_ref5","doi-asserted-by":"crossref","first-page":"E49","DOI":"10.25270\/jic\/21.00058","article-title":"Outcomes of transcatheter aortic valve replacement in patients treated with systemic steroids","volume":"34","author":"Joshi","year":"2022","journal-title":"J Invasive Cardiol"},{"key":"2023053021411995900_ref6","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/S0003-4975(99)00175-7","article-title":"Risk stratification for cardiac valve replacement. 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