Guide Extension-Assisted Stent Implantation at Ostial Right Coronary Artery Creating Stent Tunnel During Transcatheter Aortic Valve Replacement.
Coronary occlusion
Percutaneous coronary intervention
Transcatheter aortic valve replacement
Journal
Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
Titre abrégé: Cardiovasc Revasc Med
Pays: United States
ID NLM: 101238551
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
19
03
2020
revised:
15
04
2020
accepted:
21
04
2020
pubmed:
1
6
2020
medline:
16
7
2021
entrez:
1
6
2020
Statut:
ppublish
Résumé
Coronary artery occlusion is an uncommon but life-threatening complication of transcatheter aortic valve replacement (TAVR). Both low coronary artery height and externally mounted stented bioprosthesis present an increased risk for coronary artery occlusion, and various prevention strategies have been recommended. We present an 86-year-old woman with failed surgical bioprosthesis, concomitant obstructive ostial right coronary artery (RCA) lesion, and low coronary ostial heights who underwent simultaneous TAVR and percutaneous coronary intervention of ostial RCA. Due to suprannular valve expansion after post-dilation, the RCA ostium was compromised, and a novel stent tunnel was created under the native leaflets towards the left coronary sinus to maintain RCA perfusion.
Identifiants
pubmed: 32473909
pii: S1553-8389(20)30226-8
doi: 10.1016/j.carrev.2020.04.022
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
50-53Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.