Large Coronary Thrombus As a Possible Cause of Periprocedural Transient Ischemic Attack During Percutaneous Coronary Intervention: Case Report

2016 ◽  
Vol 28 (2) ◽  
pp. 73-76
Author(s):  
Mehmet Sertaç ALPAYDIN ◽  
Bilge DURAN KARADUMAN ◽  
Harun KOCA ◽  
Zafer BÜYÜKTERZİ ◽  
Şükrü KARAARSLAN ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Report ◽  
Transient Ischemic Attack ◽  
Coronary Intervention ◽  
Coronary Thrombus ◽  
Percutaneous Coronary ◽  
Ischemic Attack ◽  
Possible Cause

scholarly journals Transcatheter aortic valve implantation facilitated by right common carotid cut-down and innominate artery angioplasty with simultaneous right coronary artery vein graft percutaneous coronary intervention in a patient with mid aortic syndrome: a case report

2020 ◽  
Vol 4 (4) ◽  
pp. 1-5
Author(s):  
Mina S A Ghobrial ◽  
Kamal Khan ◽  
Mohamed Baguneid ◽  
Richard D Levy
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Innominate Artery ◽  
Coronary Intervention ◽  
Transcatheter Aortic Valve ◽  
Percutaneous Coronary ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Abstract Background Transcatheter aortic valve implantation (TAVI) is most commonly performed via the femoral approach. Small caliber ilio-femoral arteries, severe calcification and tortuosity are often prohibitive reasons for TAVI via the femoral approach. Mid-aortic syndrome is a rare condition describing congenital or acquired coarctation of the abdominal aorta. Case summary To the best of our knowledge, this case report describes the world’s first TAVI in a patient with mid-aortic syndrome with challenging vascular access that would preclude conventional TAVI access routes. A 76-year-old woman with intermittent claudication, underwent work-up for axillo-bifemoral bypass, underwent a TAVI for incidental severe asymptomatic severe aortic stenosis via right common carotid TAVI facilitated by innominate artery angioplasty achieved vascular access for TAVI. Percutaneous coronary intervention to a right coronary artery vein graft was simultaneously performed via a left brachial artery cut down. Discussion We demonstrate that complex angioplasty to coronary artery bypass grafts and the innominate artery alongside TAVI via a variety of arterial access sites is both safe and feasible.

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