scholarly journals A case of percutaneous coronary intervention after transfemoral implantation of a Medtronic CoreValve System™

2015 ◽  
Vol 76 (4) ◽  
Author(s):  
Nicola Corcione ◽  
Paolo Ferraro ◽  
Michele Polimeno ◽  
Stefano Messina ◽  
Vincenzo De Rosa ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Coronary Atherosclerosis ◽  
Aortic Valve Disease ◽  
Coronary Intervention ◽  
Transcatheter Aortic Valve ◽  
Percutaneous Coronary ◽  
Medtronic Corevalve ◽  
Valve Implantation

The association between aortic valve disease and coronary atherosclerosis is common. In the recent era of transcatheter aortic valve implantation there is little experience with coronary artery intervention after valve implantation. We report a case of a 80 year-old male who underwent successful coronary artery intervention few months after a Medtronic CoreValve System ™ percutaneous implantation for severe aortic valve stenosis. Verification of the position of the used wires (crossing from inside the self expanding frame) is of utmost importance before proceeding to coronary intervention. In this case, crossing the aortic valve, coronary angiography and percutaneous coronary intervention were successfully performed. In conclusion, percutaneous coronary intervention in patients with previous Medtronic CoreValve System ™ implantation is feasible and safe.

scholarly journals Transcatheter aortic valve implantation facilitated by right common carotid cut-down and innominate artery angioplasty with simultaneous right coronary artery vein graft percutaneous coronary intervention in a patient with mid aortic syndrome: a case report

2020 ◽  
Vol 4 (4) ◽  
pp. 1-5
Author(s):  
Mina S A Ghobrial ◽  
Kamal Khan ◽  
Mohamed Baguneid ◽  
Richard D Levy
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Innominate Artery ◽  
Coronary Intervention ◽  
Transcatheter Aortic Valve ◽  
Percutaneous Coronary ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Abstract Background Transcatheter aortic valve implantation (TAVI) is most commonly performed via the femoral approach. Small caliber ilio-femoral arteries, severe calcification and tortuosity are often prohibitive reasons for TAVI via the femoral approach. Mid-aortic syndrome is a rare condition describing congenital or acquired coarctation of the abdominal aorta. Case summary To the best of our knowledge, this case report describes the world’s first TAVI in a patient with mid-aortic syndrome with challenging vascular access that would preclude conventional TAVI access routes. A 76-year-old woman with intermittent claudication, underwent work-up for axillo-bifemoral bypass, underwent a TAVI for incidental severe asymptomatic severe aortic stenosis via right common carotid TAVI facilitated by innominate artery angioplasty achieved vascular access for TAVI. Percutaneous coronary intervention to a right coronary artery vein graft was simultaneously performed via a left brachial artery cut down. Discussion We demonstrate that complex angioplasty to coronary artery bypass grafts and the innominate artery alongside TAVI via a variety of arterial access sites is both safe and feasible.

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