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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Calcium Resection to Relieve Left Main Coronary Obstruction in Transcatheter Aortic Valve Replacement

Gilbert H L Tang1, Hasan Ahmad2, Martin Cohen2

  • 1Section of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York.

Journal of Cardiac Surgery
|April 15, 2016
PubMed

Insights

Coronary obstruction during transcatheter aortic valve replacement (TAVR) is a rare complication. Resecting calcium during TAVR quickly restores blood flow, offering an alternative to emergency coronary artery bypass grafting (CABG).

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure to treat aortic stenosis.
  • Coronary obstruction is a rare but serious complication during TAVR, potentially leading to myocardial infarction or death.

Observation:

  • The study addresses the critical issue of coronary artery obstruction following TAVR.
  • It highlights the need for rapid intervention to restore coronary blood flow.

Findings:

  • Emergent resection of obstructing calcified material is a feasible and effective technique.
  • This method successfully restored coronary perfusion in the TAVR procedure.

Implications:

  • This technique provides a valuable alternative to more invasive emergency coronary artery bypass grafting (CABG).
  • It offers a potentially faster and simpler solution for managing coronary obstruction during TAVR, improving patient outcomes.

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