Successful management of acute left main coronary occlusion following transcatheter aortic valve implantation: a case report

Abstract

Background Transcatheter aortic valve implantation is an established, highly effective procedure in selected patients with severe degenerative aortic valve stenosis at high risk for conventional surgery.
Case presentation We report a case of a 74-year-old Caucasian man who had an acute left main occlusion after transcatheter implantation of balloon-expandable valve prosthesis, followed by coronary intervention with successful recanalization.
Conclusions Acute coronary occlusion is a rare life-threatening complication of transcatheter aortic valve implantation that is poorly predictable and requires immediate diagnosis and treatment.

Keywords: TAVI; Complication; LM occlusion; Coronary intervention.