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Implantation of transcatheter valves inside degenerated surgical bioprosthesis is nowadays a very good alternative to redo a new cardiac surgery especially in high risk patients. Although procedural success is achieved in most of the patients, these procedures are associated with few potential risks such as coronary occlusion. It is very important to perform an exhaustive study prior to the valve implantation so as to prevent possible fatal complications. In this paper we show that in case of coronary occlusion one possibility to solve it is emergent percutaneous coronary intervention. Keyword: Aortic Valve Disease, Percutaneous Intervention, Balloon Angioplasty, Complications, Structural Heart Disease Intervention Received: 04 December, 2017; Accepted: 08 January, 2018; Published: 15 January, 2018 *Corresponding author: Luis Fernandez Gonzalez, Interventional Cardiology, Cruces University Hospital, Baracaldo, Spain; E-mail id: luisfg82@ hotmail.com Symbiosis www.symbiosisonline.org www.symbiosisonlinepublishing.com Symbiosis Group * Corresponding author email: luisfg82@hotmail.com Introduction Most of the surgical valves being implanted during the past decade are bioprosthetic with limited durability. Implantation of transcatheter valves (Valve in Valve TAVI) inside de-generated surgical bioprosthesis is reported as an alternative to repeat surgery [1]. Although procedural success is achieved in most of the patients, this procedures are associated with few potential risks such as coronary occlusion [2-4]. Coronary obstruction is associated with high rate of mortality. In this paper we describe a case of left coronary obstruction following Valve in Valve (VIV) TAVI procedure solved by Percutaneous Coronary Intervention (PCI) of left main.

american journal of cardiovascular and thoracic surgery

Emergent Chimney Stent to Treat Left Main Occlusion Following Valve-In-Valve Transfemoral Aortic Implantation Chimney Stent Following Valve-In-Valve TAVI