Intravascular Ultrasound Observation of an Obstruction of the Left Main Coronary Artery Caused by Displaced Leaflet Calcification and Hematoma After Transcatheter Aortic Valve Implantation | Zendy

Tomohiko Taniguchi | Zendy; Naritatsu Saito | Zendy; Kenji Minakata | Zendy; Masao Imai | Zendy; Hirotoshi Watanabe | Zendy; Toshiaki Toyota | Zendy; Shin Watanabe | Zendy; Junichi Tazaki | Zendy; Shigeki Koizumi | Zendy; Shingo Hirao | Zendy; Kazuhiro Yamazaki | Zendy; Hiroki Daijo | Zendy; Ryuzo Sakata | Zendy; Takeshi Kimura | Zendy

Open Access

Intravascular Ultrasound Observation of an Obstruction of the Left Main Coronary Artery Caused by Displaced Leaflet Calcification and Hematoma After Transcatheter Aortic Valve Implantation

Author(s) -

Tomohiko Taniguchi,

Naritatsu Saito,

Kenji Minakata,

Masao Imai,

Hirotoshi Watanabe,

Toshiaki Toyota,

Shin Watanabe,

Junichi Tazaki,

Shigeki Koizumi,

Shingo Hirao,

Kazuhiro Yamazaki,

Hiroki Daijo,

Ryuzo Sakata,

Takeshi Kimura

Publication year - 2015

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.114.014690

Subject(s) - medicine , intravascular ultrasound , calcification , cardiology , hematoma , aortic valve , artery , radiology , ultrasound

An 89-year-old woman underwent transcatheter aortic valve implantation (TAVI) using a transapical approach for severe senile calcific aortic stenosis (area = 0.39 cm2; peak and mean gradients = 176 mm Hg and 103 mm Hg, respectively; ejection fraction = 62%). Preprocedural computed tomography imaging revealed severe calcification of the left coronary cusp and a small sinus of Valsalva (Figure 1A). The patient was considered high-risk for coronary obstruction after TAVI.Figure 1. Computed tomography (CT) imaging before and after transcatheter aortic valve implantation (TAVI). A , CT imaging before TAVI showing a severe calcification of the left coronary cusp and a small sinus of valsalva. B , CT imaging after TAVI showing the displaced leaflet calcification and …

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