Orzalkiewicz Mateusz, Bruno Antonio G, Saia Francesco, Palmerini Tullio
Cardiology Unit, Department of Cardiac Thoracic and Vascular, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Department of Cardiac Thoracic and Vascular, Alma Mater Studiorum, Universita di Bologna, Bologna, Italy.
Catheter Cardiovasc Interv. 2023 Dec;102(7):1389-1392. doi: 10.1002/ccd.30883. Epub 2023 Oct 27.
Acute coronary occlusion during transcatheter aortic valve implantation (TAVI) is a rare but potentially lethal complication. Main mechanisms are sinus insufficiency or sinus sequestration with well-described risk factors. We present two cases of acute right coronary artery occlusion during TAVI with a self-expanding valve in the absence of classical risk factors and propose a novel mechanism.
经导管主动脉瓣植入术(TAVI)期间的急性冠状动脉闭塞是一种罕见但可能致命的并发症。主要机制是窦部功能不全或窦部隔离,并伴有已明确描述的危险因素。我们报告两例在TAVI期间使用自膨胀瓣膜时发生急性右冠状动脉闭塞的病例,且不存在经典危险因素,并提出一种新机制。