Bail out lithotripsy to treat delayed valve-in-valve TAVR-related coronary obstruction.

Brian O BingenIbtihal Al AmriJosé M Montero CabezasFrank van der Kley

Published in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2022)

Coronary access difficulty and stent compression by the juxtaposed aortic valve leaflet hamper percutaneous management of delayed coronary artery obstruction (CAO) after valve-in-valve (Edwards Sapien 3 in St. Jude Trifecta) transcatheter aortic valve replacement (TAVR). Here, we present a case of delayed post-TAVR CAO treated with intravascular lithotripsy and multistenting to overcome stent compression by the adjacent calcified leaflet.

Keyphrases

aortic valve
transcatheter aortic valve replacement
aortic stenosis
coronary artery
transcatheter aortic valve implantation
aortic valve replacement
pulmonary artery
coronary artery disease
mitral valve
minimally invasive
atrial fibrillation
pulmonary arterial hypertension
urinary tract