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Transcatheter aortic valve implantation for a degenerated stentless bioprosthesis with a low left main coronary artery poses a difficult choice between atypical TAVI and conventional redo surgery.
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Describes a challenging case of TAVI in a high-risk patient with a degenerated stentless aortic bioprosthesis and low left main coronary artery.
Recently during a transcatheter aortic valve implantation (TAVI), we were faced with a problem that seemed to be untreatable by TAVI. It was difficult to decide whether to perform atypical TAVI or to convert to conventional redo aortic valve surgery in an extremely high-risk patient with a degenerated stentless aortic bioprosthesis.
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D’Ancona et al. (2012) studied this question. Transcatheter aortic valve implantation for a degenerated stentless bioprosthesis with a low left main coronary artery poses a difficult choice between atypical TAVI and conventional redo surgery.
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