Emergent Percutaneous Rotational Atherectomy to Bailout Surgical Transapical Aortic Valve Implantation: A Successful Case of Heart Team Turnaround.
Tawfiq ChoudhuryShahrukh N BakarBob KiaiiPatrick TeefyPublished in: Arquivos brasileiros de cardiologia (2020)
Transcatheter aortic valve implantation (TAVI) is an established treatment for severe aortic stenosis (AS) in patients with elevated surgical risk. Concomitant coronary artery disease affects 55-70% of patients with severe AS. Percutaneous coronary intervention in patients with TAVI can be challenging. We report a case of acute coronary obstruction immediately following transapical TAVI deployment requiring emergent rotational atherectomy.
Keyphrases
- transcatheter aortic valve implantation
- aortic stenosis
- aortic valve
- coronary artery disease
- transcatheter aortic valve replacement
- percutaneous coronary intervention
- aortic valve replacement
- ejection fraction
- coronary artery bypass grafting
- drug induced
- st segment elevation myocardial infarction
- cardiovascular events
- acute myocardial infarction
- liver failure
- left ventricular
- early onset
- antiplatelet therapy
- st elevation myocardial infarction
- acute coronary syndrome
- palliative care
- atrial fibrillation
- heart failure
- aortic dissection
- respiratory failure
- coronary artery bypass
- ultrasound guided
- intensive care unit
- combination therapy
- radiofrequency ablation