TORN AORTIC VALVE - A RARE CASE OF AORTIC VALVE CUSP RUPTURE DURING PRE TAVR BALLOON VALVULOPLASTY WITH SUBSEQUENT LEFT MAIN CORONARY OBSTRUCTION, IN A PATIENT WITH MEDIASTINAL RADIATION EXPOSURE

Coronary arteries obstruction associated with transcatheter aortic valve implantation (TAVI) may occur either during the procedure or after it. In the latter coronary obstruction can be further divided into early (7 days after procedure) or delayed one (7 days). Delayed coronary obstruction (DCO) is referred as a rare but devastating complication after TAVI and is associated with the extremely high mortality. This case demonstrates the objective difficulties of timely diagnostics of DCO. Since the results of non-invasive methods are indetermined in most cases, the authors conclude that even low-specific clinical symptoms must be interpreted as the definite rationale for the implementation of invasive diagnostic and treatment strategy.

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Neo Left Main Channel Creation Using Double Stenting Alongside a Sapien 3 Aortic Valve Bioprosthesis for Left Main Coronary Obstruction Following Valve-in-Valve Transcatheter Aortic Valve Replacement: A Case Report With Review of Literature

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/2324709618767696 ◽

2018 ◽

Vol 6 ◽

pp. 232470961876769

Author(s):

Apurva D. Patel ◽

Thomas Haldis ◽

Kais Al Balbissi ◽

Timir Paul

Keyword(s):

Case Report ◽

Aortic Valve ◽

Transcatheter Aortic Valve Replacement ◽

Main Channel ◽

Review Of Literature ◽

Left Main ◽

Transcatheter Aortic Valve ◽

Valve In Valve ◽

Sapien 3 ◽

Coronary Obstruction

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Delayed left main coronary obstruction following transfemoral inovare transcatheter aortic valve replacement: A challenging case

Journal of Cardiology Cases ◽

10.1016/j.jccase.2021.06.012 ◽

2021 ◽

Author(s):

Gabriel Kanhouche ◽

Felipe Reale Cividanes ◽

Roney Orismar Sampaio ◽

José Carlos Albuquerque da Silva ◽

Rodrigo Daghlawi Machado ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Transcatheter Aortic Valve Replacement ◽

Left Main ◽

Transcatheter Aortic Valve ◽

Coronary Obstruction

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Acute left main coronary occlusion following transcatheter aortic valve replacement without obvious coronary obstruction risk factors, treating with triple stenting

The Anatolian Journal of Cardiology ◽

10.14744/anatoljcardiol.2020.91535 ◽

2020 ◽

Author(s):

Beytullah Çakal

Keyword(s):

Risk Factors ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Transcatheter Aortic Valve Replacement ◽

Coronary Occlusion ◽

Left Main ◽

Transcatheter Aortic Valve ◽

Coronary Obstruction

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Delayed-Onset Left Main Coronary Artery Obstruction More than 24 Hours after Balloon-Expandable Transcatheter Aortic Valve Replacement

Texas Heart Institute Journal ◽

10.14503/thij-15-5475 ◽

2016 ◽

Vol 43 (5) ◽

pp. 441-445 ◽

Cited By ~ 1

Author(s):

Tsuyoshi Isawa ◽

Norio Tada ◽

Tatsushi Ootomo

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Transcatheter Aortic Valve Replacement ◽

Left Main Coronary Artery ◽

Left Ventricular ◽

Left Main ◽

Transcatheter Aortic Valve ◽

Valve Implantation ◽

Coronary Obstruction

Coronary obstruction during or after transcatheter aortic valve replacement is a rare and catastrophic sequela that occurs most frequently just after valve implantation. Even rarer is the delayed clinical presentation, in some few patients, of coronary obstruction on the day after self-expandable valve implantation. Here we describe a case of balloon-expandable (not self-expandable) transcatheter aortic valve replacement, followed by partial obstruction of the left main coronary artery on the day after that procedure in a 93-year-old man, despite normal left ventricular contraction just after valve implantation. Visual evaluation of the echocardiogram for left ventricular wall motion was not sufficient, by itself, to achieve early diagnosis of the obstruction. We performed emergency percutaneous coronary intervention. Ninety days after the procedure, the patient was in New York Heart Association functional class I.

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