A case of anomalous left coronary artery obstruction caused by lotus valve implantation

Catheter Cardiovasc Interv. 2017 Dec 1;90(7):1227-1231. doi: 10.1002/ccd.26541. Epub 2016 May 3.

Abstract

Trans-catheter aortic valve implantation (TAVI) in patients with high surgical risk is an alternative therapeutic option for severe aortic stenosis. Although second generation TAVI devices are available now, this therapy still cannot overcome all serious complications. Among them, coronary obstruction is a life threatening complication, however, there is no report concerning the complication in patients with anomalous coronary arteries. Here we present a case with coronary obstruction of an anomalous left main coronary that occurred after implantation of the mechanical expanding Lotus valve (Boston Scientific Inc.). © 2016 Wiley Periodicals, Inc.

Keywords: trans-catheter aortic valve implantation (TAVI); coronary obstruction; anomalous coronary artery of the opposite sinus (ACAOS).

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / physiopathology
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Computed Tomography Angiography
  • Coronary Angiography / methods
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / etiology*
  • Coronary Stenosis / therapy
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Female
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Multidetector Computed Tomography
  • Percutaneous Coronary Intervention / instrumentation
  • Prosthesis Design
  • Severity of Illness Index
  • Stents
  • Treatment Outcome