These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Occlusion of the left main stem after transcatheter aortic valve implantation (TAVI)--a rare complication].
    Author: Zahn R, Bauer T, Schiele R.
    Journal: Dtsch Med Wochenschr; 2013 Sep; 138(39):1945-7. PubMed ID: 24046134.
    Abstract:
    HISTORY: In an 85-year-old woman with severe symptomatic aortic stenosis transcatheter aortic valve implantation (TAVI) was performed via a transfemoral access. A 26 mm Sapien Edwards XTTM prosthesis was implanted. FINDINGS: Shortly after the implantation arterial blood pressure began to drop. Aortic root angiography demonstrated occlusion of the left main stem and the small right coronary artery. TREATMENT: Mechanical resuscitation had to be started, while a 6 French guiding catheter was inserted. A guide wire could be inserted into the left main stem, which resulted in slow antegrade flow (TIMI grade II), with an almost immediate rise in the arterial pressure. Implantation of a bare metal stent into the ostium of the left main stem resulted in a normal flow to the left coronary artery and arterial blood pressure returned to normal. COURSE: Further clinical course was uneventful and the patient could be discharged one week later. Sixteen months after the procedure, she is still well. CONCLUSION: TAVI should be performed by experienced staff with a cardiac surgery unit in stand-by; the compartment should be equipped with all facilities of an interventional catheterization laboratory.
    [Abstract] [Full Text] [Related] [New Search]