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Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery
Author(s) -
Weich Hellmuth,
Ackermann Christelle,
Viljoen Hofmeyr,
van Wyk Jacques,
Mabin Thomas,
Doubell Anton F.
Publication year - 2011
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.23012
Subject(s) - medicine , truncus , cardiology , right coronary artery , aorta , coronary sinus , coronary artery anomaly , complication , artery , aortic sinus , coronary angiography , myocardial infarction
We describe the first case of implantation of a transcatheter aortic valve implantation (TAVI) in a patient with an anomalous origin of the right coronary artery, coursing in between the aorta and pulmonary truncus to the right. After assessment of the risk of compression of the anomalous origin of the right coronary artery from the left coronary sinus (ARCA), the procedure was performed without complication. A brief discussion of the pathophysiology of ARCA is provided and the implications for TAVI as well as our recommendations are offered.© 2011 Wiley Periodicals, Inc.