Balkan Medical Journal
Case Report

TAVI in a Patient with Single Coronary Artery: The Choice of Self-Expandable Valve may be Reasonable

1.

Department of Cardiology, Dokuz Eylül University School of Medicine, İzmir, Turkey

2.

Department of Cardiovascular Surgery, Dokuz Eylül University School of Medicine, İzmir, Turkey

Balkan Medical Journal 2016; 33: 357-359
DOI: 10.5152/balkanmedj.2016.150601
Read: 20 Downloads: 12 Published: 01 March 2016

Abstract

Background: Single coronary artery is a rare congenital coronary artery anomaly with the incidence of approximately 0.03%-0.05%. Its coexistence with severe aortic stenosis (AS) is even rarer. Patients who undergo transcatheter aortic valve implantation (TAVI) have a risk of coronary obstruction (1%) which will be more lethal when the origin of the coronary artery is single.

Case Report: An 81 year-old female was referred to our institution for severe AS. Her coronary angiography revealed a single coronary artery originating from right sinus of valsalva. Since the patient had a high risk for aortic valve surgery, the cardiac team decided to perform transfemoral TAVI with a self-expandable valve.

Conclusion: We presented a successful case of TAVI with Medtronic CoreValve (Medtronic; Minnesota, USA) in a patient with single coronary artery after discussing the base of our strategy for preferring self-expandable valve. To the best of our knowledge, this is the second case of CoreValve implantation in such a patient in the literature. We suggest that the self-expandable valve may be the first choice in these patients because of its recapturable design.

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ISSN 2146-3123 EISSN 2146-3131