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Published on: March 28, 2025
Rare complication of circumflex artery occlusion during transfemoral aortic valve replacement (TAVR)
Chirojit Mukherjee1, Joergen Banusch, Joerg Ender
1Department of Anesthesia and Intensive Medicine, Heart Center, University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany, chirojit.mukherjee@medizin.uni-leipzig.de.
Insights
Identifying circumflex artery occlusion during transfemoral aortic valve replacement (TAVR) is challenging. This case highlights an imaging complication during TAVR that could alter patient outcomes.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Imaging
Background:
- Circumflex artery occlusion is a rare but serious complication during TAVR.
- Intraoperative identification of this complication can be difficult.
- Current imaging modalities may present challenges in diagnosis.
Abstract:
Circumflex artery occlusion is an unusual but grave complication that can be intra-operatively challenging to identify. Various modalities of imaging are possible during transfemoral aortic valve replacement (TAVR). Fluoroscopy and/or transesophageal echocardiography maybe used for assessment during and after TAVR. Imaging dilemma can cause delay or alter diagnosis. We report a case of an imaging complication during TAVR which might have modified the outcome of the procedure.

