TAVR in a Patient With Anomalous Origin and Course of the Left Main Coronary Artery

Gil U Marcus; Ady Orbach; Stephen Fremes; Ram Vijayaraghavan; Arthur Kerner; Anastasia Oikonomou; Idan Roifman; Harindra C Wijeysundera

doi:10.1016/j.jaccas.2022.06.017

TAVR in a Patient With Anomalous Origin and Course of the Left Main Coronary Artery

JACC Case Rep. 2022 Nov 16;4(22):1467-1471. doi: 10.1016/j.jaccas.2022.06.017.

Authors

Gil U Marcus¹, Ady Orbach¹, Stephen Fremes¹, Ram Vijayaraghavan², Arthur Kerner³, Anastasia Oikonomou⁴, Idan Roifman¹, Harindra C Wijeysundera¹

Affiliations

¹ Schulich Heart Program, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.
² Scarborough Health Network, Toronto, Ontario, Canada.
³ Department of Cardiology, Rambam Medical Center, Haifa, Israel.
⁴ Department of Medical Imaging, Sunnybrook Health Sciences Centre, Ontario, Canada.

Abstract

In patients with anomalous coronary arteries with high-risk features, corrective cardiac surgery should be considered. We report the first case of transcatheter aortic valve replacement using a self-expanding Evolut valve, in a patient with a single coronary artery arising from the right coronary cusp and an intramural course of the left main. (Level of Difficulty: Intermediate.).

Keywords: CAA, coronary artery anomalies; CT, computed tomography; LMCA, left main coronary artery; SCD, sudden cardiac death; TAVR, transcatheter aortic valve replacement; aortic valve; computed tomography; coronary vessel anomaly; valve replacement.

Publication types

Case Reports