Rare Cause of Late Left Aortic Sinus Obstruction Following Transcatheter Aortic Valve Replacement

• Type of Material: Article
• Authors: Louis Verreault-Julien, Emory University; Olga Toleva, Emory University; Gregory Robertson, Emory University; Stephane Rinfret, Emory University
• Language: English
• Date: 2023-05-17
• Publisher: Elsevier Inc
• Publication Version: Final Published Version
• Copyright Statement: © 2023 Published by Elsevier on behalf of the American College of Cardiology Foundation.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jaccas.2023.101828
• Title of Journal or Parent Work: JACC: Case Reports
• Volume: 14
• Start Page: 101828
• End Page: 101828
• Keywords: transcatheter aortic valve replacement; delayed coronary obstruction; coronary artery disease; percutaneous coronary intervention
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

A 74-year-old woman with a history aortic stenosis with prior transcatheter aortic valve replacement presented with non–ST-segment elevation myocardial infarction secondary to a delayed left coronary sinus obstruction. With physiology and intravascular ultrasound guidance, the patient was treated with stents through the valve struts and to the left main. (Level of Difficulty: Intermediate.)