Abstract
Transcatheter aortic valve replacement (TAVR) is well-established for the treatment of bioprosthetic aortic valve stenosis (AS) in high surgical risk patients. Coronary artery obstruction from displacement of the bioprosthetic valve leaflets during valve-in-valve (VIV) TAVR is a rare, but potentially fatal, complication. Recently, the bioprosthetic aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction (BASILICA) procedure was developed as a method for disrupting bioprosthetic leaflets in patients undergoing VIV TAVR at high risk for coronary obstruction. This case describes a successful VIV TAVR utilizing a simplified concept of the BASILICA technique in a patient where the full procedure could not be completed.
Original language | English (US) |
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Pages (from-to) | 164-168 |
Number of pages | 5 |
Journal | Catheterization and Cardiovascular Interventions |
Volume | 93 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2019 |
Keywords
- aortic stenosis
- coronary artery obstruction
- transcatheter aortic valve replacement
- valve-in-valve
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine