Trans-apical aortic valve implantation complicated by left main occlusion

Gabriele Crimi, Giancarlo Passerone, Paolo Rubartelli

Research output: Contribution to journalArticlepeer-review

Abstract

Transcatheter aortic valve implantation (TAVI) is a highly effective procedure for selected patients who are at high risk for aortic valve replacement; however, the incidence of severe complications is still relevant. Coronary occlusion during TAVI is a life-threatening complication that requires immediate diagnosis and treatment. We report the case of an 87-years-old woman affected by severe aortic stenosis, symptomatic for refractory heart failure, who underwent urgent balloon aortic valvuloplasty and subsequent elective transapical aortic valve implantation. Valve deployment was complicated by cardiac arrest and hemodynamic collapse, and left main coronary artery occlusion was recognized and successfully recovered by balloon angioplasty and stent implantation. Patient is alive and well 6 months after procedure.

Original languageEnglish
Pages (from-to)656-659
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume78
Issue number4
DOIs
Publication statusPublished - Oct 3 2011

Keywords

  • complication
  • coronary occlusion
  • stenting
  • transcatheter aortic valve implantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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