Left Main Coronary Artery Occlusion After Percutaneous Aortic Valve Implantation

Antonio L. Bartorelli, Daniele Andreini, Erminio Sisillo, Gloria Tamborini, Melissa Fusari, Paolo Biglioli

Research output: Contribution to journalArticlepeer-review

Abstract

Left main coronary artery occlusion occurred immediately after transfemoral aortic valve implantation in an 87-year-old woman, which resulted in ventricular fibrillation and hemodynamic collapse. This life-threatening complication was promptly diagnosed with transesophageal echocardiography, which showed the disappearance of diastolic left main coronary artery jet flow and was confirmed with aortic root angiography. After prompt defibrillation, hemodynamic support was obtained with intra-aortic balloon pump and inotropic drugs. Functional recovery and survival were achieved with coronary stenting. This report highlights the importance of an integrated team approach of highly skilled specialists for these novel interventions.

Original languageEnglish
Pages (from-to)953-955
Number of pages3
JournalAnnals of Thoracic Surgery
Volume89
Issue number3
DOIs
Publication statusPublished - Mar 2010

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

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