Non-ST-elevation myocardial infarction after complex percutaneous coronary intervention and transcatheter aortic valve implantation: a case report of bioprosthesis-related delayed coronary obstruction and its difficult diagnosis.
Piotr Nikodem RudzińskiMarkus MachChristoph GrossMartin AndreasPublished in: European heart journal. Case reports (2020)
Pre-procedural assessment is crucial prior to THV interventions. Delayed coronary obstruction caused by the native leaflet is extremely rare and potentially fatal complication of TAVI. The diagnosis is difficult and high clinical suspicion is required to detect this pathology. Given our experience, the indication towards interventional or surgical repair should be established faster to avoid coronary ischaemia.
Keyphrases
- transcatheter aortic valve implantation
- aortic stenosis
- percutaneous coronary intervention
- st elevation myocardial infarction
- aortic valve
- coronary artery disease
- aortic valve replacement
- transcatheter aortic valve replacement
- coronary artery
- st segment elevation myocardial infarction
- ejection fraction
- acute myocardial infarction
- coronary artery bypass grafting
- antiplatelet therapy
- acute coronary syndrome
- left ventricular
- mitral valve
- physical activity
- atrial fibrillation