Valve-in-valve using an Edwards Sapien XT into a JenaValve in a patient with a low originating left coronary artery and a heavily calcified aorta

Catheter Cardiovasc Interv. 2016 Apr;87(5):989-92. doi: 10.1002/ccd.26135. Epub 2015 Aug 13.

Abstract

Coronary obstruction during transcatheter aortic valve implantation is a potentially life-threatening complication. Most of the widely used transcatheter heart valves require a certain distance between the basal aortic annular plane and the origins of the coronary arteries. We report the case of a successful valve-in-valve procedure with an Edwards SAPIEN XT valve into a JenaValve as a bail-out procedure in a patient with a low originating left coronary artery and a heavily calcified aorta.

Keywords: TAVI; low coronary ostium; valve-in-valve.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Diseases / complications*
  • Aortic Diseases / diagnostic imaging
  • Aortic Valve Insufficiency / diagnostic imaging
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / therapy*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / therapy*
  • Aortography / methods
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / instrumentation*
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Echocardiography, Transesophageal
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis Implantation / methods
  • Heart Valve Prosthesis*
  • Humans
  • Male
  • Prosthesis Design
  • Risk Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Calcification / complications*
  • Vascular Calcification / diagnostic imaging