Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery

Catheter Cardiovasc Interv. 2011 Dec 1;78(7):1013-6. doi: 10.1002/ccd.23012. Epub 2011 Oct 5.


We describe the first case of implantation of a transcatheter aortic valve implantation (TAVI) in a patient with an anomalous origin of the right coronary artery, coursing in between the aorta and pulmonary truncus to the right. After assessment of the risk of compression of the anomalous origin of the right coronary artery from the left coronary sinus (ARCA), the procedure was performed without complication. A brief discussion of the pathophysiology of ARCA is provided and the implications for TAVI as well as our recommendations are offered.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / therapy*
  • Cardiac Catheterization* / instrumentation
  • Coronary Angiography / methods
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / physiopathology
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / instrumentation
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Prosthesis Design
  • Severity of Illness Index
  • Tomography, X-Ray Computed
  • Treatment Outcome