Cardiogenic Shock Due to Late Chimney Stent Failure Following Valve-in-Valve Transcatheter Aortic Valve Replacement

Daniel Nour; Usaid Allahwala; Peter Hansen; Peter Brady; Christopher Choong; Ravinay Bhindi

doi:10.1016/j.jaccas.2019.06.034

Cardiogenic Shock Due to Late Chimney Stent Failure Following Valve-in-Valve Transcatheter Aortic Valve Replacement

JACC Case Rep. 2019 Oct 16;1(3):313-318. doi: 10.1016/j.jaccas.2019.06.034. eCollection 2019 Oct.

Authors

Daniel Nour^{1

2}, Usaid Allahwala², Peter Hansen², Peter Brady², Christopher Choong², Ravinay Bhindi²

Affiliations

¹ College of Medicine and Dentistry, James Cook University, Townsville, Australia.
² Department of Cardiology, Royal North Shore Hospital, North Sydney, Sydney.

Abstract

Although the safety of valve-in-valve transcatheter aortic valve replacement has improved, coronary ostium obstruction remains a significant complication, with chimney stenting a possible solution to circumvent this complication. In this case, we discuss the failure of a chimney stent in a case of valve-in-valve transcatheter aortic valve replacement resulting in cardiogenic shock. (Level of Difficulty: Advanced.).

Keywords: DCO, delayed coronary obstruction; ECG, electrocardiography; LMS, left main stem; RCA, right coronary artery; STJ, sino-tubular junction; TAVR-ViV, transcatheter aortic valve-in-valve replacement; aortic valve; percutaneous coronary intervention; redo-SAVR, redo–surgical aortic valve replacement; tricuspid valve.

Publication types

Case Reports