Emergent Percutaneous Rotational Atherectomy to Bailout Surgical Transapical Aortic Valve Implantation: A Successful Case of Heart Team Turnaround
- Resource Type
- report
- Authors
- Choudhury, Tawfiq; Bakar, Shahrukh N.; Kiaii, Bob; Teefy, Patrick
- Source
- Arquivos Brasileiros de Cardiologia. December 2019 113(6)
- Subject
- Aortic Valve Stenosis
Atherectomy, Coronary
Atherectomy
Peripheral Arterial Disease
Coronary Angiography
- Language
- English
- ISSN
- 0066-782X
Transcatheter aortic valve implantation (TAVI) is an established treatment for severe aortic stenosis (AS) in patients with elevated surgical risk. Concomitant coronary artery disease affects 55-70% of patients with severe AS. Percutaneous coronary intervention in patients with TAVI can be challenging. We report a case of acute coronary obstruction immediately following transapical TAVI deployment requiring emergent rotational atherectomy.