Transcatheter aortic valve replacement in a patient with anomalous origin of the left coronary artery

Cho, Sung Woo; Kim, Byung Gyu; Park, Taek Kyu; Choi, Seung–Hyuk; Gwon, Hyeon‐Cheol; Park, Sung‐Ji; Nah, Jong Chun

doi:10.1016/j.jccase.2018.12.011

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…It has been noted in multiple large population cohort studies, that anomalous LCA/LCX arising from the right coronary sinus is about five times less common than the anomalous origin of the RCA from the left coronary sinus [1,3]. Many cases show an increase in the rate of mortality and morbidity associated with cases of LCA and these patients are more likely to experience sudden cardiac death [6].…”

Section: Discussionmentioning

confidence: 99%

“…While some patients may remain asymptomatic until valve stenosis is severe, other patients may appear symptomatic earlier at disease onset. Symptomatic patients showing signs of dyspnea on exertion, chest pressure and syncope require surgical intervention via Trans-catheter Aortic Valve Replacement (TAVR) Hence, careful attention needs to be given to the topographical location of the coronary artery from the aortic root and the implanted valve for preventing coronary obstruction during TAVR [1].…”

Section: Discussionmentioning

confidence: 99%

“…Since there are only a few cases of anomalous coronary artery with TAVR procedure, not enough data is present regarding the choice of a particular valve that would be well suited for such anatomy. However, a study by Sorbets et all reported that the use of self-expandable or balloon expandable bio-prosthetic valve does not appear particularly advantageous over the other in the case of anomalous coronary artery [1,10].…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of variations in coronary anatomy and the presence of anomalous coronary arteries is known to be about 0.2-2.3% [1][2][3][4][5][6] High rates of morbidity and mortality are associated with such high-risk cases thus, complete knowledge of the coronary anatomy is of immense clinical importance when performing technical valve procedures. Careful attention needs to be given to the topographical location of the coronary artery from the aortic root and the implanted valve for preventing coronary obstruction during TAVR.…”

Section: Introductionmentioning

confidence: 99%

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2019

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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2019

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“…Between year 2011 and 2021, 23 case reports describing a total of 27 patients were identified 10–32 . All studies referred to single case reports or small series, with a maximum of three reported cases of performed TAVI on patients with ACA.…”

Section: Methodsmentioning

confidence: 99%

Transcatheter aortic valve implantation in patients with anomalous coronary artery

Bajoras

Diečkus

Wong

et al. 2023

Cathet Cardio Intervent

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Objectives: The aim of this review was to analyze literature and provide systematic algorithm to guide decision making during TAVI procedure.Background: Transcatheter aortic valve implantation (TAVI) is growing in popularity and expanding to younger patients with lower risk profiles. Currently, there is no concise guideline on the management strategy during TAVI in patients with anomalous coronary artery (ACA) anatomy undergoing this procedure.Methods: A systematic search was conducted for relevant case reports of TAVI in patients who had confirmed ACA anatomy. Twenty-four case reports, that met the criteria for this review, were identified and included in the final study size.Results: TAVI was successful in 23 out of 24 cases. Half of the cases (12) described performing balloon aortic valvuloplasty (BAV) before TAVI. The majority (15) reported using angiogram Postimplantation. Only one-third of cases (8) reported performing coronary protection (with either wire, wire and stent or wire and balloon). Two-third of case reports (16/24, 67%) mentioned using Edwards SAPIEN balloon expandable transcatheter heart valves (THV).Conclusions: Preprocedural diagnostic imaging tests play important role in determining the ACA anatomy and its relation to the aortic valve. BAV with simultaneous coronary arteries angiography or aortography should be performed before implantation of THV, as it could potentially predict whether the ACA would be compressed. Using at least a coronary wire for ACA protection is recommended in case there is high risk of ACA obstruction. Management strategy should be individualized when performing TAVI in patients with ACA.

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Transcatheter aortic valve implantation in patients with anomalous origin of a coronary artery

Loria,

Abdelhafez,

Desch

et al. 2023

Cathet Cardio Intervent

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Transcatheter aortic valve implantation (TAVI) has become a well‐established treatment option for elderly patients with symptomatic severe aortic stenosis. Coronary artery anomalies are an infrequent finding and there have only been few anecdotal reports of patients with coronary anomalies treated with TAVI. We here present a comprehensive overview of existing reports in addition to an own case series to facilitate better understanding of this potentially challenging clinical scenario.

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Transcatheter aortic valve replacement in a patient with anomalous origin of the left coronary artery

Cited by 6 publications

References 7 publications

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Transcatheter aortic valve implantation in patients with anomalous coronary artery

Transcatheter aortic valve implantation in patients with anomalous origin of a coronary artery

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