Document Detail

Successful percutaneous management of left main trunk occlusion during percutaneous aortic valve replacement.
MedLine Citation:
PMID:  19455695     Owner:  NLM     Status:  MEDLINE    
Transcatheter aortic valve replacement with balloon-expandable and self-expandable stent valves is available in Europe. The balloon-expandable valve is currently being investigated in a randomized trial in the US. We report an uncommon complication of left main trunk occlusion with balloon-expandable valve deployment and its successful percutaneous management. Left main trunk occlusion was immediately recognized when patient did not recover blood pressure after valve deployment. TandemHeart support was used to stabilize the patient immediately and left main trunk was successfully stented. Analysis of anatomy leading to this complication and potential measures to predict and prevent such a complication are discussed in this report.
Samir R Kapadia; Lars Svensson; E Murat Tuzcu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  73     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-25     Completed Date:  2009-08-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  966-72     Citation Subset:  IM    
Copyright Information:
(c) 2009 Wiley-Liss, Inc.
Department of Cardiovascular Medicine, Lerner College of Medicine at Cleveland Clinic, Cleveland, OH 44195, USA.
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MeSH Terms
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary* / instrumentation
Aortic Valve Stenosis / complications,  diagnosis,  therapy*
Balloon Dilatation / adverse effects*,  instrumentation
Blood Pressure
Coronary Occlusion / diagnosis,  etiology,  therapy*
Coronary Stenosis / complications,  diagnosis,  therapy*
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Heart Catheterization / adverse effects*,  instrumentation
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / adverse effects*,  instrumentation,  methods
Prosthesis Design
Radiography, Interventional
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Interventional
Comment In:
Catheter Cardiovasc Interv. 2009 Jun 1;73(7):973   [PMID:  19455693 ]

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