Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery

Hellmuth Weich; Christelle Ackermann; Hofmeyr Viljoen; Jacques van Wyk; Thomas Mabin; Anton F Doubell

doi:10.1002/ccd.23012

Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery

Catheter Cardiovasc Interv. 2011 Dec 1;78(7):1013-6. doi: 10.1002/ccd.23012. Epub 2011 Oct 5.

Authors

Hellmuth Weich¹, Christelle Ackermann, Hofmeyr Viljoen, Jacques van Wyk, Thomas Mabin, Anton F Doubell

Affiliation

¹ Cardiology Unit, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa.

PMID: 22114037
DOI: 10.1002/ccd.23012

Abstract

We describe the first case of implantation of a transcatheter aortic valve implantation (TAVI) in a patient with an anomalous origin of the right coronary artery, coursing in between the aorta and pulmonary truncus to the right. After assessment of the risk of compression of the anomalous origin of the right coronary artery from the left coronary sinus (ARCA), the procedure was performed without complication. A brief discussion of the pathophysiology of ARCA is provided and the implications for TAVI as well as our recommendations are offered.

Publication types

Case Reports

MeSH terms

Aged
Aortic Valve Stenosis / complications
Aortic Valve Stenosis / diagnostic imaging
Aortic Valve Stenosis / physiopathology
Aortic Valve Stenosis / therapy*
Cardiac Catheterization* / instrumentation
Coronary Angiography / methods
Coronary Vessel Anomalies / complications*
Coronary Vessel Anomalies / diagnostic imaging
Coronary Vessel Anomalies / physiopathology
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / instrumentation
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Prosthesis Design
Severity of Illness Index
Tomography, X-Ray Computed
Treatment Outcome