Coronary Alignment With a Balloon-Expandable Valve in a Coronary Artery Anomaly
Heberto Aquino-Bruno1, Juan C Fuentes-Moreno1, Marco A Alcántara-Meléndez1
1Interventional Cardiology Department, Centro Médico Nacional 20 de Noviembre, Mexico City, Mexico.
Transcatheter aortic valve replacement (TAVR) with Edwards Sapien valves can be challenging with complex coronary anatomy. This case demonstrates a successful "neocommissural inversion" technique for optimal coronary alignment during TAVR.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Biomedical Engineering
Background:
- Commissural and coronary alignment is crucial for bioprosthetic valve function and future coronary reaccess during transcatheter aortic valve replacement (TAVR).
- Optimal coronary alignment strategies are not well-established for balloon-expandable valves (BEV), particularly with Edwards Sapien valves.
- Complex coronary anatomy presents unique challenges for achieving successful TAVR outcomes.
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