Unusual cause of myocardial infarction following transcatheter aortic valve replacement
Key Clinical Message Left coronary artery embolism from aortic valve leaflet tissue mass is a rare but potentially life‐threatening complication following transcatheter aortic valve replacement. It is important for interventional cardiologists to be aware of this rare complication for rapid identifi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-11-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.8091 |
| _version_ | 1827632014316011520 |
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| author | Neeraj Shah L. Wiley Nifong |
| author_facet | Neeraj Shah L. Wiley Nifong |
| author_sort | Neeraj Shah |
| collection | DOAJ |
| description | Key Clinical Message Left coronary artery embolism from aortic valve leaflet tissue mass is a rare but potentially life‐threatening complication following transcatheter aortic valve replacement. It is important for interventional cardiologists to be aware of this rare complication for rapid identification and prompt treatment which is the key to a successful outcome. Abstract An 81‐year‐old female presented for elective transcatheter aortic valve replacement (TAVR) for severe low‐flow low‐gradient aortic stenosis. Immediately post‐procedure, she developed unexplained, persistent hypotension. There was no bleeding. There was no aortic injury. Activated clotting time was in therapeutic range. Coronary angiography revealed hazy filling defects in left anterior descending and left circumflex. Intravascular ultrasound showed heterogeneous, hypoechoic mass with mild calcification consistent with embolized valve leaflet tissue. This was treated with emergent percutaneous coronary intervention with excellent results. Left coronary artery embolism from aortic valve leaflet tissue is a rare, but potentially life‐threatening complication following TAVR. Prompt recognition is key to a successful outcome. |
| first_indexed | 2024-03-09T14:29:33Z |
| format | Article |
| id | doaj.art-3406e05ff4e544958abde228926b6f94 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-09T14:29:33Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-3406e05ff4e544958abde228926b6f942023-11-28T04:14:44ZengWileyClinical Case Reports2050-09042023-11-011111n/an/a10.1002/ccr3.8091Unusual cause of myocardial infarction following transcatheter aortic valve replacementNeeraj Shah0L. Wiley Nifong1Department of Cardiovascular Disease East Carolina University Greenville North Carolina USADepartment of Cardiac Surgery East Carolina University Greenville North Carolina USAKey Clinical Message Left coronary artery embolism from aortic valve leaflet tissue mass is a rare but potentially life‐threatening complication following transcatheter aortic valve replacement. It is important for interventional cardiologists to be aware of this rare complication for rapid identification and prompt treatment which is the key to a successful outcome. Abstract An 81‐year‐old female presented for elective transcatheter aortic valve replacement (TAVR) for severe low‐flow low‐gradient aortic stenosis. Immediately post‐procedure, she developed unexplained, persistent hypotension. There was no bleeding. There was no aortic injury. Activated clotting time was in therapeutic range. Coronary angiography revealed hazy filling defects in left anterior descending and left circumflex. Intravascular ultrasound showed heterogeneous, hypoechoic mass with mild calcification consistent with embolized valve leaflet tissue. This was treated with emergent percutaneous coronary intervention with excellent results. Left coronary artery embolism from aortic valve leaflet tissue is a rare, but potentially life‐threatening complication following TAVR. Prompt recognition is key to a successful outcome.https://doi.org/10.1002/ccr3.8091coronary thrombosisleft coronary artery embolismmyocardial infarction (MI)transcatheter aortic valve replacement (TAVR) |
| spellingShingle | Neeraj Shah L. Wiley Nifong Unusual cause of myocardial infarction following transcatheter aortic valve replacement Clinical Case Reports coronary thrombosis left coronary artery embolism myocardial infarction (MI) transcatheter aortic valve replacement (TAVR) |
| title | Unusual cause of myocardial infarction following transcatheter aortic valve replacement |
| title_full | Unusual cause of myocardial infarction following transcatheter aortic valve replacement |
| title_fullStr | Unusual cause of myocardial infarction following transcatheter aortic valve replacement |
| title_full_unstemmed | Unusual cause of myocardial infarction following transcatheter aortic valve replacement |
| title_short | Unusual cause of myocardial infarction following transcatheter aortic valve replacement |
| title_sort | unusual cause of myocardial infarction following transcatheter aortic valve replacement |
| topic | coronary thrombosis left coronary artery embolism myocardial infarction (MI) transcatheter aortic valve replacement (TAVR) |
| url | https://doi.org/10.1002/ccr3.8091 |
| work_keys_str_mv | AT neerajshah unusualcauseofmyocardialinfarctionfollowingtranscatheteraorticvalvereplacement AT lwileynifong unusualcauseofmyocardialinfarctionfollowingtranscatheteraorticvalvereplacement |