Successful Coronary Protection during TAVI in Heavily Calcified Aortic Leaflets in Patient with Short and Low Left
Mohamad Kabach1, Abdulah Alrifai1, Lawrence Lovitz1
1JFK Medical Center, University of Miami School of Medicine, Atlantis, FL, USA.
Insights
Transcatheter aortic valve replacement (TAVR) can cause coronary obstruction, a rare but serious complication. A novel coronary protection technique successfully prevented this during TAVR in a patient with severe aortic valve calcification and challenging coronary anatomy.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Devices
Background:
- Transcatheter aortic valve replacement (TAVR) is an established treatment for high/intermediate-risk patients with aortic stenosis.
- Coronary obstruction is a rare but severe complication of TAVR, carrying a high mortality rate.
- Preemptive strategies are needed to mitigate risks associated with TAVR, especially in complex anatomies.
Abstract:
Transcatheter aortic valve replacement has been recently approved for patients who are high or intermediate risk for surgical aortic valve replacement. The procedure is associated with several known complications including coronary related complications. Coronary obstruction is rare but disastrous complication, and it is associated with a high mortality rate. Coronary protection technique has emerged as a preemptive technique to avoid this complication. We present a case of successful coronary protection during TAVR in severely calcified left cusp in patient with short and low left ostium.
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