Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation

Severe aortic stenosis and coronary artery disease often coexist. Coronary angiography (CA) and percutaneous coronary intervention (PCI) can be challenging in patients with prior transcatheter aortic valve implantation (TAVI). Depending on the type and position of the implanted valve, the procedure...

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Main Authors: Mohamad Kabach, Abdulah Alrifai, Stefanie Furlan, Fares Alahdab
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2016-07-01
Series:Avicenna Journal of Medicine
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.184069
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author Mohamad Kabach
Abdulah Alrifai
Stefanie Furlan
Fares Alahdab
author_facet Mohamad Kabach
Abdulah Alrifai
Stefanie Furlan
Fares Alahdab
author_sort Mohamad Kabach
collection DOAJ
description Severe aortic stenosis and coronary artery disease often coexist. Coronary angiography (CA) and percutaneous coronary intervention (PCI) can be challenging in patients with prior transcatheter aortic valve implantation (TAVI). Depending on the type and position of the implanted valve, the procedure can be challenging or even unfeasible due to interference of diagnostic catheters and valve parts. The correct positioning of the TAVI prosthesis during TAVI was identified as an important factor with regard to the feasibility of subsequent CA or PCI. TAVI has been also associated with vascular, cerebrovascular and conduction complication. One is rare but life-threatening complication, coronary ostial obstruction. Coronary ostial obstruction can develop, especially if a safety check of more than 10 mm of coronary ostial height is not taken into consideration during TAVI. This complication can cause recurrent episodes of angina and can severely worsen the patient′s cardiac systolic function.
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spelling doaj.art-07c6f9e4028b47feb9b93953ad63fce32022-12-21T19:26:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Avicenna Journal of Medicine2231-07702249-44642016-07-010603868810.4103/2231-0770.184069Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantationMohamad Kabach0Abdulah Alrifai1Stefanie Furlan2Fares Alahdab3Department of Internal Medicine, University of Miami Miller Palm Beach Regional Campus, Atlantis, Florida, USADepartment of Internal Medicine, University of Miami Miller Palm Beach Regional Campus, Atlantis, Florida, USADepartment of Internal Medicine, University of Miami Miller Palm Beach Regional Campus, Atlantis, Florida, USAMayo Evidence based Practice Center, Mayo Clinic, Rochester, MN, USASevere aortic stenosis and coronary artery disease often coexist. Coronary angiography (CA) and percutaneous coronary intervention (PCI) can be challenging in patients with prior transcatheter aortic valve implantation (TAVI). Depending on the type and position of the implanted valve, the procedure can be challenging or even unfeasible due to interference of diagnostic catheters and valve parts. The correct positioning of the TAVI prosthesis during TAVI was identified as an important factor with regard to the feasibility of subsequent CA or PCI. TAVI has been also associated with vascular, cerebrovascular and conduction complication. One is rare but life-threatening complication, coronary ostial obstruction. Coronary ostial obstruction can develop, especially if a safety check of more than 10 mm of coronary ostial height is not taken into consideration during TAVI. This complication can cause recurrent episodes of angina and can severely worsen the patient′s cardiac systolic function.http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.184069anginaaortic valvecoronary obstruction
spellingShingle Mohamad Kabach
Abdulah Alrifai
Stefanie Furlan
Fares Alahdab
Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation
Avicenna Journal of Medicine
angina
aortic valve
coronary obstruction
title Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation
title_full Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation
title_fullStr Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation
title_full_unstemmed Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation
title_short Recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation
title_sort recurrent angina from chronic coronary obstruction following transcatheter aortic valve implantation
topic angina
aortic valve
coronary obstruction
url http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.184069
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AT abdulahalrifai recurrentanginafromchroniccoronaryobstructionfollowingtranscatheteraorticvalveimplantation
AT stefaniefurlan recurrentanginafromchroniccoronaryobstructionfollowingtranscatheteraorticvalveimplantation
AT faresalahdab recurrentanginafromchroniccoronaryobstructionfollowingtranscatheteraorticvalveimplantation