Emergent surgical repair via minimally invasive left anterior thoracotomy for left ventricular perforation during transfemoral transcatheter aortic valve implantation: a case report

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-including pericardiocentesis, CPB initiation, and surgical haemostasis-are critical upon occurrence. Innovatively employing minimally invasive left anterior thoracotomy for repair in this case significantly reduced surgical trauma, facilitating rapid postoperative recovery.