Article

Successful percutaneous coronary intervention after implantation of a CoreValve percutaneous aortic valve.

Herz-Kreislauf-Zentrum, Segeberger Kliniken GmbH, The Academic Teaching Hospital for the University of Kiel, Bad Segeberg, Germany.
Catheterization and Cardiovascular Interventions (Impact Factor: 2.51). 11/2008; 73(1):61-7. DOI: 10.1002/ccd.21744
Source: PubMed

ABSTRACT The association between aortic valve disease and coronary atherosclerosis is common. In the recent era of percutaneous aortic valve replacement (PAVR), there is little experience with coronary artery intervention after valve implantation.
To our knowledge, this is the first case of successful percutaneous coronary intervention after implantation of a CoreValve percutaneous aortic valve. We report a case of a 79-year-old female patient who underwent successful coronary artery intervention few months after a CoreValve's percutaneous implantation for severe aortic valve stenosis. Verifying the position of the used wires (crossing from inside the self expanding frame) is of utmost importance before proceeding to coronary intervention. In this case, crossing the aortic valve, coronary angiography, and multivessel stenting were successfully performed.
Percutaneous coronary intervention in patients with previous CoreValve is feasible and safe.

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