Novel approach to stenting the left anterior descending coronary artery through a retrograde approach via the left internal mammary artery graft in a patient with occlusion of the coronary ostium from a prior aortic valve replacement

Catheter Cardiovasc Interv. 2023 Nov;102(5):885-888. doi: 10.1002/ccd.30844. Epub 2023 Sep 20.

Abstract

Total occlusion of both coronary ostia is a rare and potentially life-threatening complication following surgical aortic valve replacement. This report presents a case of a patient with known total occlusion of both coronary artery ostia following combined coronary artery bypass graft surgery and aortic valve replacement who underwent successful percutaneous coronary intervention through a retrograde approach.

Keywords: CAR-carotid artery disease; CORG-coronary bypass grafts; PCIC-percutaneous coronary intervention; complex PCI.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Coronary Angiography
  • Coronary Vessels* / surgery
  • Humans
  • Mammary Arteries*
  • Treatment Outcome