Key result
TAVI case details RCA dissection, acute neurologic injury, and high-grade AV block requiring PPM.
Case Report (n=1)
This case report highlights the potential for multiple severe, concurrent periprocedural complications to occur in a single patient undergoing TAVI.
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.
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Alan Jelić (2024) conducted a case report in severe aortic stenosis (n=1). TAVI (Transcatheter Aortic Valve Implantation) was evaluated. TAVI in a patient with severe aortic stenosis was complicated by right coronary artery dissection, acute neurologic injury, and high-grade AV block requiring permanent pacemaker implantation.
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