Document Detail


Heart team approach for transcatheter aortic valve implantation procedures complicated by coronary artery occlusion.
MedLine Citation:
PMID:  22235004     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Ralf G Seipelt; Gerd-Gunnar Hanekop; Friedrich A Schoendube; Wolfgang Schillinger
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-01-09
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  14     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-22     Completed Date:  2012-07-24     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  431-3     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Georg-August University, Göttingen, Germany. rseipelt@med.uni-goettingen.de
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Angioplasty, Balloon, Coronary* / instrumentation
Aortic Valve Stenosis / therapy*
Cardiac Catheterization / adverse effects*
Coronary Artery Bypass*
Coronary Circulation
Coronary Occlusion / diagnosis,  etiology,  physiopathology,  surgery,  therapy*
Female
Heart Valve Prosthesis Implantation / adverse effects*,  methods
Hemodynamics
Humans
Male
Patient Care Team*
Risk Assessment
Risk Factors
Stents
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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