Aortic Valve Leaflet Rupture Causing Delayed Left Main Coronary Ostial Obstruction During Valvuloplasty Preceding TAVR

A 69-year-old man with mediastinal radiation history underwent balloon valvuloplasty before transcatheter aortic valve replacement, which caused aortic leaflet rupture leading to unstable severe aortic regurgitation and subsequent left main ostial obstruction. A balloon-expanding valve was implanted...

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Detalles Bibliográficos
Autores principales: Parekh, Akarsh, Sengupta, Vivek, Hunyadi, Victor, Ianitelli, Melissa, Zainea, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Structural Interventions
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8642731/
https://www.ncbi.nlm.nih.gov/pubmed/34917962
http://dx.doi.org/10.1016/j.jaccas.2021.09.022
Descripción
Sumario:A 69-year-old man with mediastinal radiation history underwent balloon valvuloplasty before transcatheter aortic valve replacement, which caused aortic leaflet rupture leading to unstable severe aortic regurgitation and subsequent left main ostial obstruction. A balloon-expanding valve was implanted to capture the ruptured leaflet and a left main stent was placed. (Level of Difficulty: Advanced.)

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