Basilica procedure for prevention of coronary obstruction during transcatheter aortic valve implantation: case report from Latam

Transcatheter aortic valve implantation is considered a standard treatment for many symptomatic patients with severe aortic stenosis. Coronary artery occlusion after transcatheter aortic valve implantation is associated with a mortality rate of up to 50%. In this case report we described a patient with severe aortic bioprosthesis dysfunction, at high risk of coronary obstruction after transcatheter aortic valve implantation. This patient underwent Basilica procedure followed by valve-in-valve transcatheter aortic valve implantation. The patient demonstrated good improvement and was discharged from hospital after 2 days, without any symptoms. The patient remained asymptomatic at 6 months of follow-up.

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PERI-PROCEDURAL RIGHT CORONARY ARTERY OCCLUSION BY CALCIUM EMBOLUS CAUSING ACUTE MYOCARDIAL INFARCTION DURING TRANSCATHETER AORTIC VALVE IMPLANTATION

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(20)33911-5 ◽

2020 ◽

Vol 75 (11) ◽

pp. 3284

Author(s):

Balaji Natarajan ◽

Srishti Nayak ◽

Suneel Kumar ◽

Anisha Rastogi ◽

Prabhdeep Sethi

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Coronary Artery ◽

Aortic Valve ◽

Transcatheter Aortic Valve Implantation ◽

Coronary Artery Occlusion ◽

Artery Occlusion ◽

Transcatheter Aortic Valve ◽

Aortic Valve Implantation ◽

Valve Implantation

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Coronary Artery Occlusion as a Complication of Transcatheter Aortic Valve Implantation

Canadian Journal of Cardiology ◽

10.1016/j.cjca.2012.03.015 ◽

2012 ◽

Vol 28 (5) ◽

pp. 534-536 ◽

Cited By ~ 5

Author(s):

Jian Ye

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Transcatheter Aortic Valve Implantation ◽

Coronary Artery Occlusion ◽

Artery Occlusion ◽

Transcatheter Aortic Valve ◽

Aortic Valve Implantation ◽

Valve Implantation

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Pancreaticoduodenectomy after transcatheter aortic valve implantation in an elderly patient with severe aortic stenosis and pancreas cancer: A case report

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.01.050 ◽

2021 ◽

Vol 62 ◽

pp. 207-210

Author(s):

Ryo Imada ◽

Teruo Komakata ◽

Bibek Aryal ◽

Nobuhiro Tada ◽

Kensuke Nuruki ◽

...

Keyword(s):

Elderly Patient ◽

Case Report ◽

Aortic Valve ◽

Aortic Stenosis ◽

Transcatheter Aortic Valve Implantation ◽

Pancreas Cancer ◽

Severe Aortic Stenosis ◽

Transcatheter Aortic Valve ◽

Aortic Valve Implantation ◽

Valve Implantation

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Heart team approach for transcatheter aortic valve implantation procedures complicated by coronary artery occlusion

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivr136 ◽

2012 ◽

Vol 14 (4) ◽

pp. 431-433 ◽

Cited By ~ 16

Author(s):

R. G. Seipelt ◽

G.-G. Hanekop ◽

F. A. Schoendube ◽

W. Schillinger

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Transcatheter Aortic Valve Implantation ◽

Coronary Artery Occlusion ◽

Artery Occlusion ◽

Team Approach ◽

Heart Team ◽

Transcatheter Aortic Valve ◽

Aortic Valve Implantation ◽

Valve Implantation

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Management and Prevention of Vascular Complications Related to Transcatheter Aortic Valve Implantation and Aortic Aneurysm Repair Procedures – A Technical Note

Interventional Cardiology Review ◽

10.15420/icr.2010.5.1.81 ◽

2010 ◽

Vol 5 (1) ◽

pp. 81

Author(s):

Andrea Pacchioni ◽

Dimitris Nikas ◽

Carlo Penzo ◽

Salvatore Saccà ◽

Luca Favero ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Aneurysm ◽

Transcatheter Aortic Valve Implantation ◽

Severe Aortic Stenosis ◽

Vascular Complications ◽

Technical Note ◽

Closure Device ◽

Transcatheter Aortic Valve ◽

Aortic Valve Implantation ◽

Valve Implantation

Transcatheter aortic valve implantation (TAVI) and endovascular aortic repair (EVAR) are increasingly being used as therapeutic options for patients with severe aortic stenosis who are ineligible for surgery and who have aortic aneurysm with suitable anatomical features. These procedures can be associated with severe complications, especially related to vascular access and the use of a large introducer sheath (from 18 to 24 French [Fr]). In this article we describe possible vascular complications emerging during TAVI and EVAR and their appropriate management, beginning with patient selection, the correct way to perform vessel puncture and the use of a vascular closure device, up to the recently proposed cross-over technique, which is thought to minimise the risk of dangerous consequences of vascular damage.

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Faculty Opinions recommendation of Outcomes of patients with severe aortic stenosis at high surgical risk evaluated in a trial of transcatheter aortic valve implantation.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718018801.793478429 ◽

2013 ◽

Author(s):

Wilbert Aronow

Keyword(s):

Aortic Valve ◽

Aortic Stenosis ◽

Transcatheter Aortic Valve Implantation ◽

Severe Aortic Stenosis ◽

Surgical Risk ◽

Transcatheter Aortic Valve ◽

High Surgical Risk ◽

Aortic Valve Implantation ◽

Valve Implantation

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Predictors of Outcomes of Transcatheter Aortic Valve Implantation in Patients with Severe Aortic Stenosis

Zagazig University Medical Journal ◽

10.21608/zumj.2020.19760.1626 ◽

2020 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

mosaad ghanem ◽

Abdelfattah Hassan frere ◽

Manar Elzaky ◽

Hamdy Mahmoud

Keyword(s):

Aortic Valve ◽

Aortic Stenosis ◽

Transcatheter Aortic Valve Implantation ◽

Severe Aortic Stenosis ◽

Transcatheter Aortic Valve ◽

Predictors Of Outcomes ◽

Aortic Valve Implantation ◽

Valve Implantation

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Transcatheter Aortic Valve Implantation For Inoperable Severe Aortic Stenosis - A Meta-Analysis

Value in Health ◽

10.1016/j.jval.2016.09.1952 ◽

2016 ◽

Vol 19 (7) ◽

pp. A686

Author(s):

AZ Mattos ◽

DA Schroder ◽

V Colpani ◽

LM Restelatto ◽

RA Ribeiro

Keyword(s):

Aortic Valve ◽

Aortic Stenosis ◽

Transcatheter Aortic Valve Implantation ◽

Severe Aortic Stenosis ◽

Meta Analysis ◽

Transcatheter Aortic Valve ◽

Aortic Valve Implantation ◽

Valve Implantation

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Real-time observation of a high-echoic mass in the left ventricle during transcatheter aortic valve implantation: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa392 ◽

2020 ◽

Author(s):

Akiko Masumoto ◽

Takeshi Kitai ◽

Mitsuhiko Ota ◽

Kitae Kim ◽

Natsuhiko Ehara ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Stenosis ◽

Transcatheter Aortic Valve Implantation ◽

Severe Aortic Stenosis ◽

Cerebral Arteries ◽

Transoesophageal Echocardiography ◽

Transcatheter Aortic Valve ◽

Transcatheter Heart Valve ◽

Aortic Valve Implantation ◽

Valve Implantation

Abstract Background Increasing number of symptomatic patients with severe aortic stenosis is treated with transcatheter aortic valve implantation (TAVI). Stroke is one of the most serious complications of TAVI, and the majority of cerebral events in patients undergoing TAVI have an embolic origin. Case summary A 90-year-old female underwent trans-femoral TAVI for symptomatic severe aortic stenosis. Just before the implantation of the transcatheter heart valve (THV), transoesophageal echocardiography (TOE) showed a mobile, high-echoic mass attached to the THV, which gradually enlarged to 26 mm, then spontaneously detached from the THV and flowed up the ascending aorta, disappearing from the TOE field of. After the procedure, the patient presented with ischaemic stroke. The patient’s stroke was thought to have resulted from the embolism migrating to the distal cerebral arteries. Discussion The detailed images acquired with TOE during TAVI enabled the prompt identification of the unusual intracardiac mass.

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