Acute Coronary Obstruction Following Transcatheter Aortic Valve Implantation: Small Vessels, Big Problems Pedro Martinez-Losas, Luis Nombela-Franco, Pedro Marcos-Alberca, Pilar Jimenez-Quevedo, Corina Biagioni, Guillermo Morrison-Polo, Carlos Almer´ıa, Antonio Fern´andez-Ortiz, Carlos Macaya PII: DOI: Reference:
S0167-5273(15)30069-3 doi: 10.1016/j.ijcard.2015.06.118 IJCA 20776
To appear in:
International Journal of Cardiology
Received date: Accepted date:
17 June 2015 26 June 2015
Please cite this article as: Martinez-Losas Pedro, Nombela-Franco Luis, Marcos-Alberca Pedro, Jimenez-Quevedo Pilar, Biagioni Corina, Morrison-Polo Guillermo, Almer´ıa Carlos, Fern´andez-Ortiz Antonio, Macaya Carlos, Acute Coronary Obstruction Following Transcatheter Aortic Valve Implantation: Small Vessels, Big Problems, International Journal of Cardiology (2015), doi: 10.1016/j.ijcard.2015.06.118
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ACCEPTED MANUSCRIPT Acute Coronary Obstruction Following Transcatheter Aortic Valve
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Implantation: Small Vessels, Big Problems
Pedro Martinez-Losas, MD; Luis Nombela-Franco, MD*; Pedro Marcos-Alberca,
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MD, PhD; Pilar Jimenez-Quevedo, MD, PhD, Corina Biagioni, MD; Guillermo Morrison-Polo, MD; Carlos Almería, MD; Antonio Fernández-Ortiz, MD, PhD,
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Carlos Macaya, MD, PhD.
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Cardiovascular Institute. Hospital Clínico San Carlos, Madrid, Spain
Key Words: Transcatheter aortic valve implantation; coronary obstruction; coronary occlusion; cardiogenic shock; severe mitral regurgitation; isolated right ventricular
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infarction.
Address for correspondence: Luis Nombela-Franco Cardiology Department Hospital Universitario Clínico San Carlos C/ Profesor Martin Lagos s/n 28040, Madrid. Spain Phone: +34913303283 Fax: +34913303220 E-mail:
[email protected] ACCEPTED MANUSCRIPT
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Main manuscript
Transcatheter aortic valve implantation (TAVI) has become in this last decade an alternative treatment to surgery in patients with severe symptomatic aortic stenosis
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(AS), with a high or prohibitive surgical risk [1]. Despite advances in the development of new devices and the growing experience of centers performing the
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procedure, the implant is not exempt of risks. Among the potential complications,
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acute coronary obstruction (CO) represents a rare complication (