Closure of Subvalvular Fistula and Occlusion of Right Coronary Artery During TAVR

Ofir Koren, Mattan Arazi, Yigal Abramowitz

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Percutaneous pseudoaneurysm closure is an alternative treatment for high surgical risk patients that rarely result in coronary artery obstruction. Acquired pseudoaneurysms are rare cardiac complications that may arise from traumatic surgeries, interventional procedures, or complications of local infections. We present a case of an 86-year-old female with a history of endocarditis who developed a pseudoaneurysm and needed TAVR. During the percutaneous closure of the pseudoaneurysm, the right coronary artery was occluded. Percutaneous technique to restore the coronary flow failed, and the patient required urgent surgical intervention.

Original languageEnglish
Title of host publicationComplex Cases in Structural Heart Intervention
PublisherSpringer International Publishing
Pages281-288
Number of pages8
ISBN (Electronic)9783031059650
ISBN (Print)9783031059643
DOIs
StatePublished - 1 Jan 2023
Externally publishedYes

Keywords

  • Complications
  • Fistula
  • Percutaneous approach
  • Right coronary artery occlusion

ASJC Scopus subject areas

  • General Medicine

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