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A Rare but Deadly Complication of Transcatheter Aortic Valve Replacement

We present a rare case of delayed coronary artery obstruction following a transcatheter aortic valve replacement (TAVR). Interestingly, the patient did not meet the criteria for traditionally recognized risk factors for delayed coronary obstruction. This case piques interest as to whether the severi...

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Detalles Bibliográficos
Autores principales: Limani, Saurabhkumar M, Roberts, Jonathan D, Desai, Nayan K, Yamini, Sundermurthy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590539/
https://www.ncbi.nlm.nih.gov/pubmed/36312685
http://dx.doi.org/10.7759/cureus.29530
Descripción
Sumario:We present a rare case of delayed coronary artery obstruction following a transcatheter aortic valve replacement (TAVR). Interestingly, the patient did not meet the criteria for traditionally recognized risk factors for delayed coronary obstruction. This case piques interest as to whether the severity of calcification on aortic valve leaflets plays any role in coronary obstruction post transcatheter aortic valve replacement. There is no consensus as to the optimal approach to investigation and revascularization in patients with delayed coronary obstruction. We report a case with successful emergent revascularization of the left main coronary artery following transcatheter aortic valve replacement.