Transcatheter aortic valve implantation in patients with anomalous coronary artery.

Vilhelmas Bajoras,Laurynas Diečkus,Ivan Wong,Anna Laurinavičienė,Giedrius Davidavičius,Sigitas Čėsna

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

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摘要

Preprocedural diagnostic imaging tests play important role in determining the ACA anatomy and its relation to the aortic valve. BAV with simultaneous coronary arteries angiography or aortography should be performed before implantation of THV, as it could potentially predict whether the ACA would be compressed. Using at least a coronary wire for ACA protection is recommended in case there is high risk of ACA obstruction. Management strategy should be individualized when performing TAVI in patients with ACA.

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关键词

anomalous left coronary artery,aortic valve disease,transcatheter aortic valve replacement

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