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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Format: | Article |
Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2016-07-01
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Series: | Avicenna Journal of Medicine |
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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. |
first_indexed | 2024-12-20T21:03:17Z |
format | Article |
id | doaj.art-07c6f9e4028b47feb9b93953ad63fce3 |
institution | Directory Open Access Journal |
issn | 2231-0770 2249-4464 |
language | English |
last_indexed | 2024-12-20T21:03:17Z |
publishDate | 2016-07-01 |
publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
record_format | Article |
series | Avicenna Journal of Medicine |
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 |
work_keys_str_mv | AT mohamadkabach recurrentanginafromchroniccoronaryobstructionfollowingtranscatheteraorticvalveimplantation AT abdulahalrifai recurrentanginafromchroniccoronaryobstructionfollowingtranscatheteraorticvalveimplantation AT stefaniefurlan recurrentanginafromchroniccoronaryobstructionfollowingtranscatheteraorticvalveimplantation AT faresalahdab recurrentanginafromchroniccoronaryobstructionfollowingtranscatheteraorticvalveimplantation |