TAVI and compromised left main coronary artery. IVUS-guided ping-pong resolution

oleh: Iván J. Núñez-Gil, Rafael Vera, Pilar Jiménez-Quevedo, Luis Nombela-Franco, Antonio Fernández-Ortiz

Format: Article
Diterbitkan: Permanyer 2021-05-01

Deskripsi

A 76-year-old male was admitted to undergo a transfemoral aortic valve implantation. Left main coronary artery (LMCA) was low (8.5 mm) with a long (12.5 mm) and thick left leaflet in the aortic valve (figure 1A), and small aortic sinuses, therefore the LMCA was protected with a guidewire. After implanting an Edwards-S3 valve (N29; -1cc) and despite patent LMCA with normal coronary flow the coronary angiography still showed inconclusive images (arrow, figure 1B and video 1 of the supplementary data).