Bailout From Sinus Jailing: In-Series TAVR-in-TAVR to Avoid Coronary Flow Obstruction

Redo transcatheter aortic valve replacement (TAVR) may pose the risk of coronary flow obstruction. We report 2 cases of severe TAVR regurgitation due to different physiopathological mechanisms in which TAVR-in-TAVR could be at high risk for sinus sequestration. Both cases were successfully treated b...

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Detalles Bibliográficos
Autores principales: Casenghi, Matteo, Oliva, Omar A., Squillace, Mattia, Bellamoli, Michele, Poletti, Enrico, Popolo Rubbio, Antonio, Testa, Luca, Bedogni, Francesco, De Marco, Federico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Valvular Heart Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302790/
https://www.ncbi.nlm.nih.gov/pubmed/34317602
http://dx.doi.org/10.1016/j.jaccas.2021.02.022
Descripción
Sumario:Redo transcatheter aortic valve replacement (TAVR) may pose the risk of coronary flow obstruction. We report 2 cases of severe TAVR regurgitation due to different physiopathological mechanisms in which TAVR-in-TAVR could be at high risk for sinus sequestration. Both cases were successfully treated by in-series implantation of a second transcatheter heart valve, thus avoiding sinus sequestration. (Level of Difficulty: Intermediate.)

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