Heart team approach for transcatheter aortic valve implantation procedures complicated by coronary artery occlusion

被引：22

作者：

Seipelt, Ralf G. ^{[1
]}

Hanekop, Gerd-Gunnar ^{[2
]}

Schoendube, Friedrich A. ^{[1
]}

Schillinger, Wolfgang ^{[3
]}

机构：

[1] Univ Gottingen, Dept Thorac & Cardiovasc Surg, D-37075 Gottingen, Germany

[2] Univ Gottingen, Dept Anaesthesiol, D-37075 Gottingen, Germany

[3] Univ Gottingen, Dept Cardiol, D-37075 Gottingen, Germany

来源：

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | 2012年 / 14卷 / 04期

关键词：

Transcatheter aortic valve implantation; Complication; Coronary occlusion; Aortic stenosis; STENOSIS; SURGERY; SOCIETY;

D O I：

10.1093/icvts/ivr136

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report on three out of 270 consecutive patients (1.1%) suffering from coronary artery obstruction or occlusion at the end of transcatheter aortic valve implantation (TAVI). The partial or total obstruction of the coronary artery seen in the post-implantation aortography was accompanied by haemodynamic instability and electrocardiographic changes typical for myocardial ischaemia. Immediate percutaneous coronary intervention with stent implantation was successful in two cases, while in the third case it was not possible to cross the occluded right coronary artery. Emergency coronary artery bypass grafting was performed resulting in uneventful myocardial recovery. All patients were discharged home. These cases highlight the awareness of this rare, life-threatening complication of TAVI, which is in need of a dedicated heart team involved not only in decision-making, but also in the procedure itself.

引用

页码：431 / 433

页数：3

共 9 条

[1] Left Main Coronary Artery Occlusion After Percutaneous Aortic Valve Implantation [J].

Bartorelli, Antonio L. ;

Andreini, Daniele ;

Sisillo, Erminio ;

Tamborini, Gloria ;

Fusari, Melissa ;

Biglioli, Paolo .

ANNALS OF THORACIC SURGERY, 2010, 89 (03) :953-955

[2] Trans-Apical Aortic Valve Implantation Complicated by Left Main Occlusion [J].

Crimi, Gabriele ;

Passerone, Giancarlo ;

Rubartelli, Paolo .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2011, 78 (04) :656-659

[3] Cardiac Surgery in Germany during 2010: A Report on Behalf of the German Society for Thoracic and Cardiovascular Surgery [J].

Gummert, J. F. ;

Funkat, A. K. ;

Beckmann, A. ;

Ernst, M. ;

Hekmat, K. ;

Beyersdorf, F. ;

Schiller, W. .

THORACIC AND CARDIOVASCULAR SURGEON, 2011, 59 (05) :259-267

[4] Transcatheter Aortic Valve Implantation for the Treatment of Severe Symptomatic Aortic Stenosis in Patients at Very High or Prohibitive Surgical Risk Acute and Late Outcomes of the Multicenter Canadian Experience [J].

Rodes-Cabau, Josep ;

Webb, John G. ;

Cheung, Anson ;

Ye, Jian ;

Dumont, Eric ;

Feindel, Christopher M. ;

Osten, Mark ;

Natarajan, Madhu K. ;

Velianou, James L. ;

Martucci, Giuseppe ;

DeVarennes, Benoit ;

Chisholm, Robert ;

Peterson, Mark D. ;

Lichtenstein, Samuel V. ;

Nietlispach, Fabian ;

Doyle, Daniel ;

DeLarochelliere, Robert ;

Teoh, Kevin ;

Chu, Victor ;

Dancea, Adrian ;

Lachapelle, Kevin ;

Cheema, Asim ;

Latter, David ;

Horlick, Eric .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 55 (11) :1080-1090

[5] Transcatheter versus Surgical Aortic-Valve Replacement in High-Risk Patients [J].

Smith, Craig R. ;

Leon, Martin B. ;

Mack, Michael J. ;

Miller, Craig ;

Moses, Jeffrey W. ;

Svensson, Lars G. ;

Tuzcu, E. Murat ;

Webb, John G. ;

Fontana, Gregory P. ;

Makkar, Raj R. ;

Williams, Mathew ;

Dewey, Todd ;

Kapadia, Samir ;

Babaliaros, Vasilis ;

Thourani, Vinod H. ;

Corso, Paul ;

Pichard, Augusto D. ;

Bavaria, Joseph E. ;

Herrmann, Howard C. ;

Akin, Jodi J. ;

Anderson, William N. ;

Wang, Duolao ;

Pocock, Stuart J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2011, 364 (23) :2187-2198

[6] Thirty-Day Results of the SAPIEN Aortic Bioprosthesis European Outcome (SOURCE) Registry A European Registry of Transcatheter Aortic Valve Implantation Using the Edwards SAPIEN Valve [J].

Thomas, Martyn ;

Schymik, Gerhard ;

Walther, Thomas ;

Himbert, Dominique ;

Lefevre, Thierry ;

Treede, Hendrik ;

Eggebrecht, Holger ;

Rubino, Paolo ;

Michev, Iassen ;

Lange, Ruediger ;

Anderson, William N. ;

Wendler, Olaf .

CIRCULATION, 2010, 122 (01) :62-U130

[7] Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI) [J].

Vahanian, Alec ;

Alfieri, Ottavio R. ;

At-Attar, Nawwar ;

Antunes, Manuel J. ;

Bax, Jeroen ;

Cormier, Bertrand ;

Cribier, Alain ;

De Jaegere, Peter ;

Fournial, Gerard ;

Kappetein, Arie Pieter ;

Kovac, Jan ;

Ludgate, Susanne ;

Maisano, Francesco ;

Moat, Neil ;

Mohr, Friedrich -Wihelm ;

Nataf, Patrick ;

Pierard, Luc ;

Pomar, Jose Luis ;

Schofer, Joachim ;

Tornos, Pilar ;

Tuzcu, Murat ;

van Hout, Ben ;

von Segesser, Ludwig K. ;

Walther, Thomas .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2008, 34 (01) :1-8

[8] Coronary Obstruction Due to Transcatheter Valve Implantation [J].

Webb, John G. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2009, 73 (07) :973-973

[9] The transapical approach for aortic valve implantation [J].

Zierer, Andreas ;

Wimmer-Greinecker, Gerhard ;

Martens, Sven ;

Moritz, Anton ;

Doss, Mirko .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2008, 136 (04) :948-953

← 1 →