Simultaneous Kissing Balloon Inflation of the Transcatheter Aortic Valve Replacement Valve and an Ostial Coronary Stent—A Novel Coronary Protection Technique

• Authors: Imran Baig, Baylor Scott & White Health The Heart Hospital; Arthur J Lee, Baylor Scott & White Health The Heart Hospital Plano; William Brinkman, Baylor Scott & White Health The Heart Hospital; Ambarish Gopal, Baylor Scott & White Health The Heart Hospital; Lakshmi Dasi, Emory University; Karim Al-Azizi, Baylor Scott & White Health The Heart Hospital
• Journal Title: Structural Heart
• Volume: Volume 6, Number 6
• Publisher: Elsevier Inc | 2022-11-01, Pages 100074-100074
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1016/j.shj.2022.100074
• Subjects: Engineering, Biomedical
• Keywords: Kissing balloon inflation; PCI; TAVR

Abstract

An 83-year-old female was seen in the valve clinic for severe symptomatic aortic stenosis. The patient underwent coronary angiography and subsequent transcatheter aortic valve replacement (TAVR) computed tomography (CT) scan. This demonstrated the previously placed proximal right coronary artery (RCA) stent to be protruding substantially into the sinus of Valsalva with inability to selectively engage the stent. CT scan demonstrated the length of protrusion to be 7 mm (Figures 1 and ​and22).