Premium
Management of coronary obstruction following transcatheter aortic valve replacement
Author(s) -
Sultan Ibrahim,
Siki Mary,
Wallen Tyler,
Szeto Wilson,
Vallabhajosyula Prashanth
Publication year - 2017
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13252
Subject(s) - medicine , cardiology , valve replacement , aortic valve replacement , stenosis
Although occlusion of the coronary arteries during transcatheter aortic valve replacement is rare, the mortality is high. In this review, we discuss the prevention and management of this complication. Occlusion of coronary ostia is a very rare, but serious, complication of transcatheter aortic valve replacement (TAVR). Although reported as only occurring in <1% of TAVR cases, it carries a high risk of fatality, with some series reporting a mortality rate as high as 40%.[1][Kim RJ, 2014] We present the management of an occluded left coronary artery after a self‐expanding TAVR, and review the incidence, prevention, and management of this complication.