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Successful percutaneous management of left main trunk occlusion during percutaneous aortic valve replacement
Author(s) -
Kapadia Samir R.,
Svensson Lars,
Tuzcu E. Murat
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21867
Subject(s) - medicine , balloon , percutaneous , complication , trunk , occlusion , surgery , valve replacement , radiology , cardiology , stenosis , ecology , biology
Transcatheter aortic valve replacement with balloon‐expandable and self‐expandable stent valves is available in Europe. The balloon‐expandable valve is currently being investigated in a randomized trial in the US. We report an uncommon complication of left main trunk occlusion with balloon‐expandable valve deployment and its successful percutaneous management. Left main trunk occlusion was immediately recognized when patient did not recover blood pressure after valve deployment. TandemHeart™ support was used to stabilize the patient immediately and left main trunk was successfully stented. Analysis of anatomy leading to this complication and potential measures to predict and prevent such a complication are discussed in this report. © 2009 Wiley‐Liss, Inc.