Delayed coronary obstruction of the left main artery after transcatheter aortic valve replacement
- Authors: Komlev A.E.1, Lepilin P.M.1, Kurilina E.V.1, Romakina V.V.1, Imaev T.E.1
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Affiliations:
- National Medical Research Center of Cardiology
- Issue: Vol 92, No 4 (2020)
- Pages: 70-75
- Section: Consensuns
- URL: https://journals.rcsi.science/0040-3660/article/view/34104
- DOI: https://doi.org/10.26442/00403660.2020.04.000466
- ID: 34104
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Abstract
Coronary arteries’ obstruction associated with transcatheter aortic valve implantation (TAVI) may occur either during the procedure or after it. In the latter coronary obstruction can be further divided into early (<7 days after procedure) or delayed one (>7 days). Delayed coronary obstruction (DCO) is referred as a rare but devastating complication after TAVI and is associated with the extremely high mortality. This case demonstrates the objective difficulties of timely diagnostics of DCO. Since the results of non-invasive methods are indetermined in most cases, the authors conclude that even low-specific clinical symptoms must be interpreted as the definite rationale for the implementation of invasive diagnostic and treatment strategy.
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##article.viewOnOriginalSite##About the authors
A. E. Komlev
National Medical Research Center of Cardiology
Author for correspondence.
Email: pentatonika@bk.ru
ORCID iD: 0000-0001-6908-7472
кардиолог отд. сердечно-сосудистой хирургии
Russian Federation, MoscowP. M. Lepilin
National Medical Research Center of Cardiology
Email: pentatonika@bk.ru
ORCID iD: 0000-0003-2979-2542
к.м.н., сердечно-сосудистый хирург, ст. науч. сотр. отд. сердечно-сосудистой хирургии
Russian Federation, MoscowE. V. Kurilina
National Medical Research Center of Cardiology
Email: pentatonika@bk.ru
врач-патологоанатом
Russian Federation, MoscowV. V. Romakina
National Medical Research Center of Cardiology
Email: pentatonika@bk.ru
ORCID iD: 0000-0002-0035-0794
кардиолог отд. сердечно-сосудистой хирургии
Russian Federation, MoscowT. E. Imaev
National Medical Research Center of Cardiology
Email: pentatonika@bk.ru
ORCID iD: 0000-0002-5736-5698
д.м.н., сердечно-сосудистый хирург, гл. науч. сотр. отд. сердечно-сосудистой хирургии
Russian Federation, MoscowReferences
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