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Successful percutaneous coronary intervention after implantation of a CoreValve percutaneous aortic valve

Volker Geist1, Mohammad A Sherif, Ahmed A Khattab

  • 1Herz-Kreislauf-Zentrum, Segeberger Kliniken GmbH, The Academic Teaching Hospital for the University of Kiel, Bad Segeberg, Germany.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|December 18, 2008
PubMed

Insights

Percutaneous coronary intervention is feasible and safe after CoreValve percutaneous aortic valve replacement. This case report details successful coronary artery intervention post-aortic valve implantation.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Aortic valve disease and coronary atherosclerosis frequently coexist.
  • Limited data exists on coronary artery intervention post-percutaneous aortic valve replacement (PAVR).

Observation:

  • A 79-year-old female with severe aortic valve stenosis underwent successful CoreValve implantation.
  • The patient subsequently required and underwent successful percutaneous coronary intervention.

Findings:

  • This represents the first reported case of successful percutaneous coronary intervention after CoreValve implantation.
  • Coronary angiography and multivessel stenting were performed safely, with careful attention to wire position within the CoreValve frame.

Implications:

  • Percutaneous coronary intervention is a feasible and safe strategy for patients with prior CoreValve implantation.
  • This finding supports the management of concurrent coronary artery disease in patients receiving percutaneous aortic valve replacement.
Abstract

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