Book review
https://doi.org/10.20471/acc.2024.63.s1.21
TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury
Alan Jelić
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University in Osijek, Krapinske Toplice, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University of Osijek, Osijek, Croatia
Mladen Predrijevac
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, Croatia
Luka Rotkvić
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, Croatia
Valentina Slivnjak
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, Croatia
Igor Šesto
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University in Osijek, Krapinske Toplice, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University of Osijek, Osijek, Croatia
Janko Szavits Nossan
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, Croatia
Andrija Škopljanac Mačina
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, Croatia; Faculty of Medicine, J.J. Strossmayer University of Osijek, Osijek, Croatia
Krešimir Štambuk
; Magdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University in Osijek, Krapinske Toplice, Croatia; Faculty of Dental Medicine and Health, J.J. Strossmayer University of Osijek, Osijek, Croatia; Faculty of Medicine, J.J. Strossmayer University of Osijek, Osijek, Croatia
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* Corresponding author.
Abstract
TAVI (Transcatheter Aortic Valve Implantation) is a minimally invasive procedure
for the treatment of severe aortic stenosis (AS) in elderly and comorbid patients. Following the guidelines
of eminent cardiac societies, a decision on the treatment modality is made by the so-called “heart
team”. Despite being less invasive, the procedure is related to some complications, among which the most
common ones are stroke, life-threatening bleeding, vascular injury, kidney injury, conduction disturbances
demanding permanent pacemaker (PPM) implantation, and perivalvular leak (PVL). Here we present a
case report of multiple periprocedural complications in the same patient, related to TAVI, such as right
coronary artery (RCA) dissection on preoperative coronary angiography (CA), postprocedural acute neurologic
injury and high grade atrioventricular (AV) block followed by PPM implantation.
Keywords
TAVI; Heart team; Pacemaker implantation; Paravalvular leak; Coronary artery dissection; High grade AV block
Hrčak ID:
321431
URI
Publication date:
1.3.2024.
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