Aortic Valve Cusp Shearing and Migration Into the Left Main Coronary Artery During Transcatheter Aortic Valve Implantation

Hadi Daood Toeg, Marino Labinaz, Chris Hudson, Marc Ruel*

*Corresponding author for this work

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

In inoperable or high-risk patients with severe aortic stenosis, transcatheter aortic valve implantation (TAVI) provides an efficacious and safe alternative to surgical aortic valve replacement. In this case report, TAVI resulted in aortic valve cusp shearing and migration into the left main coronary artery, resulting in occlusion of coronary blood flow and cardiac arrest. The patient underwent immediate cardiopulmonary support and surgical intervention with a favourable outcome. With this case report, we illustrate the etiology and management of this complication, which can be recognized nonsurgically only if a high index of suspicion exists.

Original languageEnglish (US)
Pages (from-to)611.e1-611.e3
JournalCanadian Journal of Cardiology
Volume28
Issue number5
DOIs
StatePublished - Sep 2012

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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