Left Main Coronary Artery Obstruction by Dislodged Native-Valve Calculus after Transcatheter Aortic Valve Replacement |
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| Authors: | Tahir Durmaz Huseyin Ayhan Telat Keles Abdullah Nabi Aslan Kemal Esref Erdogan Cenk Sari Emine Bilen Murat Akcay Engin Bozkurt |
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| Institution: | Department of Cardiology (Drs. Akcay, Ayhan, Bozkurt, Durmaz, and Keles), Faculty of Medicine, Yildirim Beyazit University; and Departments of Cardiology (Drs. Aslan, Bilen, and Sari) and Cardiovascular Surgery (Dr. Erdogan), Ankara Ataturk Education and Research Hospital, 06800 Ankara, Turkey |
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| Abstract: | Transcatheter aortic valve replacement can be an effective, reliable treatment for severe aortic stenosis in surgically high-risk or ineligible patients. However, various sequelae like coronary artery obstruction can occur, not only in the long term, but also immediately after the procedure. We present the case of a 78-year-old woman whose left main coronary artery became obstructed with calculus 2 hours after the transfemoral implantation of an Edwards Sapien XT aortic valve. Despite percutaneous coronary intervention in that artery, the patient died. This case reminds us that early recognition of acute coronary obstruction and prompt intervention are crucial in patients with aortic stenosis who have undergone transcatheter aortic valve replacement. |
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| Keywords: | Aortic valve stenosis/therapy calcinosis/complications coronary occlusion/etiology fatal outcome heart valve prosthesis implantation/adverse effects/methods/mortality risk assessment |
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