Delayed subtotal coronary obstruction after transapical aortic valve implantation

被引：21

作者：

Kukucka, Marian ^{[1
]}

Pasic, Miralem ^{[1
]}

Dreysse, Stephan ^{[1
]}

Hetzer, Roland ^{[1
]}

机构：

[1] Deutsch Herzzentrum Berlin, D-13353 Berlin, Germany

来源：

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY | 2011年 / 12卷 / 01期

关键词：

Aortic stenosis; Transapical aortic valve implantation; Intraoperative transesophageal echocardiography; Ischemia; Emergency percutaneous intervention;

D O I：

10.1510/icvts.2010.252866

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report on an obstruction of the left main coronary artery which occurred after completion of an uneventful transapical aortic valve implantation (TAVI) procedure. This delayed subtotal coronary obstruction was detected by routine final transesophageal echocardiographic examination. Emergency implantation of a coronary stent eliminated myocardial ischemia. This case demonstrated that coronary artery obstruction can occur not only during the TAVI procedure but also some time later. This finding reinforces the idea that these patients must also be carefully evaluated in the early post-procedure period. (C) 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

引用

页码：57 / 60

页数：4

共 5 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] Transapical Aortic Valve Implantation in 175 Consecutive Patients Excellent Outcome in Very High-Risk Patients [J].

Pasic, Miralem ;

Unbehaun, Axel ;

Dreysse, Stephan ;

Drews, Thorsten ;

Buz, Semih ;

Kukucka, Marian ;

Mladenow, Alexander ;

Gromann, Tom ;

Hetzer, Roland .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 56 (10) :813-820

[3] Improved Technique of Transapical Aortic Valve Implantation: "The Berlin Addition" [J].

Pasic, Miralem ;

Dreysse, Stephan ;

Drews, Thorsten ;

Buz, Semih ;

Unbehaun, Axel ;

Kukucka, Marian ;

Mladenow, Alexandar ;

Hetzer, Roland .

ANNALS OF THORACIC SURGERY, 2010, 89 (06) :2058-2060

[4]

Stabile E, 2010, EUROINTERVENTION, V6, P100, DOI 10.4244/

[5] 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

← 1 →