TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury
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”. De...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2024-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/464565 |
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| author | Alan Jelić Mladen Predrijevac Luka Rotkvić Valentina Slivnjak Igor Šesto Janko Szavits Nossan Andrija Škopljanac Mačina Krešimir Štambuk |
| author_facet | Alan Jelić Mladen Predrijevac Luka Rotkvić Valentina Slivnjak Igor Šesto Janko Szavits Nossan Andrija Škopljanac Mačina Krešimir Štambuk |
| author_sort | Alan Jelić |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e621dfe754c94a3a9dd91c4ecde9a7a7 |
| institution | OA Journals |
| issn | 0353-9466 1333-9451 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj-art-e621dfe754c94a3a9dd91c4ecde9a7a72025-08-20T02:15:11ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512024-01-0163.Supplement 111111410.20471/acc.2024.63.s1.21TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological InjuryAlan Jelić0Mladen Predrijevac1Luka Rotkvić2Valentina Slivnjak3Igor Šesto4Janko Szavits Nossan5Andrija Škopljanac Mačina6Krešimir Štambuk7Magdalena 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, CroatiaMagdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, CroatiaMagdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, CroatiaMagdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, CroatiaMagdalena 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, CroatiaMagdalena Clinic for Cardiovascular Disease at School of Medicine of JJ Strossmayer University of Osijek, Krapinske Toplice, CroatiaMagdalena 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, CroatiaMagdalena 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, CroatiaTAVI (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.https://hrcak.srce.hr/file/464565TAVIHeart teamPacemaker implantationParavalvular leakCoronary artery dissectionHigh grade AV block |
| spellingShingle | Alan Jelić Mladen Predrijevac Luka Rotkvić Valentina Slivnjak Igor Šesto Janko Szavits Nossan Andrija Škopljanac Mačina Krešimir Štambuk TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury Acta Clinica Croatica TAVI Heart team Pacemaker implantation Paravalvular leak Coronary artery dissection High grade AV block |
| title | TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury |
| title_full | TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury |
| title_fullStr | TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury |
| title_full_unstemmed | TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury |
| title_short | TAVI Patient with RCA Dissection, Post-TAVR High Degree AV Block and Acute Neurological Injury |
| title_sort | tavi patient with rca dissection post tavr high degree av block and acute neurological injury |
| topic | TAVI Heart team Pacemaker implantation Paravalvular leak Coronary artery dissection High grade AV block |
| url | https://hrcak.srce.hr/file/464565 |
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