EuroPCR2026-images-102796-Crossing-line-fatal-step-TAVI

What went wrong?
Transapical access-related myocardial injury with pseudoaneurysm formation
Guidewire-induced left ventricular apical perforation
Contained annular rupture with intrapericardial contrast leak
Correct! The correct answer is "Guidewire-induced left ventricular apical perforation".
 
Guidewire-induced LV apical perforation led to pericardial bleeding and tamponade. Ongoing bleeding formed a posterior organized hematoma, limiting drainage—resulting in dry tamponade and persistent instability.

 
Good try! The correct answer is "Guidewire-induced left ventricular apical perforation".
 
Guidewire-induced LV apical perforation led to pericardial bleeding and tamponade. Ongoing bleeding formed a posterior organized hematoma, limiting drainage—resulting in dry tamponade and persistent instability.
 
 
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