Bailout From Sinus Jailing: In-Series TAVR-in-TAVR to Avoid Coronary Flow Obstruction.
CT, computed tomography
PVL, paravalvular leak
STJ, sinotubular junction
TAVR, transcatheter aortic valve replacement
TAVR-in-TAVR
THV, transcatheter heart valve
coronary obstruction
durability
transcatheter aortic valve replacement
Journal
JACC. Case reports
ISSN: 2666-0849
Titre abrégé: JACC Case Rep
Pays: Netherlands
ID NLM: 101757292
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
08
12
2020
revised:
01
02
2021
accepted:
28
02
2021
entrez:
28
7
2021
pubmed:
29
7
2021
medline:
29
7
2021
Statut:
epublish
Résumé
Redo transcatheter aortic valve replacement (TAVR) may pose the risk of coronary flow obstruction. We report 2 cases of severe TAVR regurgitation due to different physiopathological mechanisms in which TAVR-in-TAVR could be at high risk for sinus sequestration. Both cases were successfully treated by in-series implantation of a second transcatheter heart valve, thus avoiding sinus sequestration. (
Identifiants
pubmed: 34317602
doi: 10.1016/j.jaccas.2021.02.022
pii: S2666-0849(21)00205-9
pmc: PMC8302790
doi:
Types de publication
Case Reports
Langues
eng
Pagination
678-681Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
The performance of this study was supported exclusively by internal institutional funds. Drs. Bedogni and De Marco are proctors for Medtronic and Boston Scientific. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
Références
J Am Coll Cardiol. 2020 Apr 28;75(16):1882-1893
pubmed: 32327098
EuroIntervention. 2020 Dec 18;16(12):e1005-e1013
pubmed: 32928715
JACC Cardiovasc Interv. 2020 Nov 23;13(22):2617-2627
pubmed: 33213747