Coronary artery occlusion during transcatheter aortic valve implantation: Early recognition have better outcome :Mohamed Abdunasser M. Baghi, Khaled Taufek Othman, Abdu Rahman H. Alnabti, Salem M Abujalala, Heart Views

CASE REPORT
Year : 2022 | Volume : 23 | Issue : 1 | Page : 55--59

Coronary artery occlusion during transcatheter aortic valve implantation: Early recognition have better outcome

Mohamed Abdunasser M. Baghi¹, Khaled Taufek Othman², Abdu Rahman H. Alnabti², Salem M Abujalala²
¹ Department of General Internal Medicine, Hamad General Hospital, Doha, Qatar
² Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar

Correspondence Address:
Dr. Mohamed Abdunasser M. Baghi
Department of General Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha
Qatar

Transcatheter aortic valve implantation (TAVI) is one of the rapidly evolving treatment strategies for severe aortic stenosis. Included in this category are inoperable, high, intermediate, and low surgical risk patients. It has varying types of complications that may require urgent surgical or transcatheter interventions to prevent procedural mortality and morbidity. Coronary artery occlusion is a rare and dreaded complication of TAVI. Here, we report a 73-year-old man who was diagnosed with severe aortic stenosis and underwent transfemoral TAVI. Unfortunately, during preimplantation balloon valvuloplasty, the patient developed severe hypotension along with ischemic changes on the electrocardiographic monitor. Promptly, coronary angiography was performed which revealed complete occlusion of the left anterior descending artery secondary to embolic debris. He was successfully rescued by manual aspiration thrombectomy (MAT). MAT results in restoration of coronary flow and reversal of shock condition before completing TAVI procedure.

How to cite this article:
Baghi MA, Othman KT, Alnabti AR, Abujalala SM. Coronary artery occlusion during transcatheter aortic valve implantation: Early recognition have better outcome.Heart Views 2022;23:55-59

How to cite this URL:
Baghi MA, Othman KT, Alnabti AR, Abujalala SM. Coronary artery occlusion during transcatheter aortic valve implantation: Early recognition have better outcome. Heart Views [serial online] 2022 [cited 2023 May 30 ];23:55-59
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2022;volume=23;issue=1;spage=55;epage=59;aulast=Baghi;type=0