A right coronary artery occlusion after transcatheter aortic valve replacement_West China Medical Journal

Authors：

BAO Qingbo ,  AN Jian , WEI Shoudong

Ward 5, Department of Cardiology, Shanxi Cardiovascular Hospital, Taiyuan, Shanxi 030024, P. R. China;

Corresponding author：

AN Jian, Email: anjianer@126.com

Keywords：

Aortic stenosis; Transcatheter aortic valve replacement; Right coronary artery occlusion

DOI：

10.7507/1002-0179.202002417

Video：

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This paper discusses a female patient with severe aortic stenosis, who was preoperatively assessed to be at high risk of left coronary artery occlusion, but developed complete occlusion of the right coronary artery during the procedure of transcatheter aortic valve replacement, leading to hemodynamic disorder. Surgical treatment under emergency cardiopulmonary bypass played a critical role in rescuing the patient.

Citation： BAO Qingbo, AN Jian, WEI Shoudong. A right coronary artery occlusion after transcatheter aortic valve replacement. West China Medical Journal, 2020, 35(9): 1135-1139. doi: 10.7507/1002-0179.202002417 Copy

1.	Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am CollCardiol, 2017, 70(2): 252-289.
2.	Ribeiro HB, Nombela-Franco L, Urena M, et al. Coronary obstruction following transcatheter aortic valve implantation: a systematic review. JACC Cardiovasc Interv, 2013, 6(5): 452-461.
3.	Eugenio S, Giovanni S, Cioppa A, et al. Acute left main obstructions following TAVI. EuroIntervention, 2010, 6(1): 100-105.
4.	Seipelt RG, Hanekop GG, Schoendube FA, et al. Heart team approach for transcatheter aortic valve implantation procedures complicated by coronary artery occlusion. Interact Cardiovasc Thorac Surg, 2012, 14(4): 431-433.
5.	Franco A, Gerli C, Ruggeri L, et al. Anaesthetic management of transcatheter aortic valve implantation. Ann Card Anaesth, 2012, 15(1): 54-63.
6.	Ribeiro HB, Webb JG, Makkar RR, et al. Predictive factors, management, and clinical outcomes of coronary obstruction following transcatheter aortic valve implantation insights from a large multicenter registry. J Am Colle Cardiol, 2013, 62(17): 1552-1562.
7.	Rodés-Cabau J, Webb JG, Cheung A, et al. Transcatheter aortic valve implantation for the treatment of severe symptomatic aortic stenosis in patients at very high or prohibitive surgical risk: acute and late outcomes of the multicenter Canadian experience. J Am Colle Cardiol, 2010, 55(11): 1080-1090.
8.	Thomas M, Schymik G, Walther T, et al. Thirty-day results of the SAPIEN Aortic Bioprosthesis European Outcome (SOURCE) Registry: a European registry of transcatheter aortic valve implantation using the Edwards SAPIEN valve. Circulation, 2010, 122(1): 62-69.
9.	Ruggeri L, Gerli C, Franco A, et al. Anesthetic management for percutaneous aortic valve implantation: an overview of worldwide experiences. HSR Proc Intensive Care Cardiovasc Anesth, 2012, 4(1): 40-46.

1. Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am CollCardiol, 2017, 70(2): 252-289.
2. Ribeiro HB, Nombela-Franco L, Urena M, et al. Coronary obstruction following transcatheter aortic valve implantation: a systematic review. JACC Cardiovasc Interv, 2013, 6(5): 452-461.
3. Eugenio S, Giovanni S, Cioppa A, et al. Acute left main obstructions following TAVI. EuroIntervention, 2010, 6(1): 100-105.
4. Seipelt RG, Hanekop GG, Schoendube FA, et al. Heart team approach for transcatheter aortic valve implantation procedures complicated by coronary artery occlusion. Interact Cardiovasc Thorac Surg, 2012, 14(4): 431-433.
5. Franco A, Gerli C, Ruggeri L, et al. Anaesthetic management of transcatheter aortic valve implantation. Ann Card Anaesth, 2012, 15(1): 54-63.
6. Ribeiro HB, Webb JG, Makkar RR, et al. Predictive factors, management, and clinical outcomes of coronary obstruction following transcatheter aortic valve implantation insights from a large multicenter registry. J Am Colle Cardiol, 2013, 62(17): 1552-1562.
7. Rodés-Cabau J, Webb JG, Cheung A, et al. Transcatheter aortic valve implantation for the treatment of severe symptomatic aortic stenosis in patients at very high or prohibitive surgical risk: acute and late outcomes of the multicenter Canadian experience. J Am Colle Cardiol, 2010, 55(11): 1080-1090.
8. Thomas M, Schymik G, Walther T, et al. Thirty-day results of the SAPIEN Aortic Bioprosthesis European Outcome (SOURCE) Registry: a European registry of transcatheter aortic valve implantation using the Edwards SAPIEN valve. Circulation, 2010, 122(1): 62-69.
9. Ruggeri L, Gerli C, Franco A, et al. Anesthetic management for percutaneous aortic valve implantation: an overview of worldwide experiences. HSR Proc Intensive Care Cardiovasc Anesth, 2012, 4(1): 40-46.

West China Medical Journal

A right coronary artery occlusion after transcatheter aortic valve replacement

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