Retrograde Percutaneous Coronary Intervention to Acute Left Main Occlusion After Transcatheter Aortic Valve Replacement.
Khaled Almerri, Salem Almerri, Abdullah Alenezi
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Case in brief
A patient developed acute left main coronary obstruction after transcatheter aortic valve replacement. Coronary obstruction is a serious TAVR complication, and although computed tomography can help assess risk before the procedure, treatment options may be limited. In this case, the obstruction was successfully treated with retrograde angioplasty and stenting using a saphenous vein graft.
What made this case unusual
The left main obstruction was managed successfully by a retrograde percutaneous approach through a saphenous vein graft.
Diagnostic / clinical pearl
Acute coronary obstruction after TAVR can be difficult to manage; this case demonstrates retrograde angioplasty and stenting via a saphenous vein graft as a successful approach.