Concomitant Complete Atrioventricular Block and Left Main Coronary Artery Occlusion During Transcatheter Aortic Valve Implantation

Gokdeniz T., Aykan A. C., Agac M. T., Dagdelen S., Celik S.

HEART LUNG AND CIRCULATION, cilt.22, sa.12, ss.1048-1050, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 12
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1016/j.hlc.2013.03.082
  • Dergi Adı: HEART LUNG AND CIRCULATION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1048-1050
  • Anahtar Kelimeler: Transcatheter aortic valve implantation, Left main coronary artery occlusion, AV block, Guidewire, Pace maker, REPLACEMENT, STENOSIS, COMPLICATIONS
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Transcatheter aortic valve implantation (TAVI) is now considered a viable alternative therapy to surgery in patients with severe symptomatic aortic stenosis, considered to have a high risk for surgery. Herein, we present a case of severe aortic stenosis treated with transfemoral aortic valve implantation and complicated by complete atrioventrciular block and left main coronary artery obstruction that was successfully managed with permanent pacemaker implantation and left main coronary artery stenting. Although less invasive, TAVI can be associated with major complications. Therefore, extra care is required when performing TAVI in patients with borderline valve to coronary ostia distance. (C) 2013 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.