Journal
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
Volume 98, Issue 6, Pages E823-E827Publisher
WILEY
DOI: 10.1002/ccd.29919
Keywords
AMI; acute myocardial infarction/STEMI; EMBC; embolization; coil/device/transcatheter; IVUS; imaging; intravascular ultrasound; PCIC; percutaneous coronary intervention; complex PCI; STEC; stenting technique; TVI; transcatheter valve implantation
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Delayed coronary obstruction is a rare but often fatal complication of transcatheter aortic valve replacement. We present a case of a 77-year-old woman who developed obstruction at the distal left main coronary artery bifurcation 16 hours after an uncomplicated procedure, successfully treated with the simultaneous kissing stent technique.
Delayed coronary obstruction is a rare but often fatal complication of transcatheter aortic valve replacement that can present within 24 hr after the transcatheter aortic valve replacement procedure. We present a case of a 77-year-old woman whose distal left main coronary artery bifurcation became obstructed by an embolized piece of native valve leaflet material 16 hours after the uncomplicated transfemoral implantation of an Edwards Sapien Ultra 23 mm aortic valve, which was successfully treated with the simultaneous kissing stent technique.
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