Coronary reaccess can be difficult after valve-in-valve transcatheter aortic valve replacement. We present a case whereby prior valve-in-valve transcatheter aortic valve replacement created difficulty with coronary reaccess. Computed tomography-fluoroscopy fusion imaging was used for guidance to successfully engage the coronary arteries and perform percutaneous coronary intervention.
Keyphrases
- aortic stenosis
- transcatheter aortic valve replacement
- aortic valve
- ejection fraction
- coronary artery disease
- computed tomography
- percutaneous coronary intervention
- left ventricular
- coronary artery
- high resolution
- magnetic resonance imaging
- acute myocardial infarction
- acute coronary syndrome
- atrial fibrillation
- blood flow