Coronary access difficulty and stent compression by the juxtaposed aortic valve leaflet hamper percutaneous management of delayed coronary artery obstruction (CAO) after valve-in-valve (Edwards Sapien 3 in St. Jude Trifecta) transcatheter aortic valve replacement (TAVR). Here, we present a case of delayed post-TAVR CAO treated with intravascular lithotripsy and multistenting to overcome stent compression by the adjacent calcified leaflet.
Keywords: aortic valve disease; coronary artery disease; interventional devices/innovation; percutaneous coronary intervention; stenting technique.
© 2022 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.