Case Reports
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Journal of Structural Heart Disease, April 2019, Volume 5, Issue 2:48-51
DOI: 10.12945/j.jshd.2019.030.18
Stenting the Snorkel: PCI of a Restenosed Left Main Stent Placed for Coronary Obstruction after Valve in Valve TAVR
Hazim El-Haddad, MD, Jon Resar, MD*
Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States
Abstract
Acute coronary artery occlusion is a known complication of transcatheter aortic valve replacement. One bailout strategy to treat acute coronary artery occlusion is deployment of a “snorkel” stent from the coronary artery behind the TAVR valve. While this approach will restore coronary artery patency, the long-term concern of this method is the ability to re-intervene on the stented coronary artery in the future. We demonstrate the complexity of re-intervention in a case of acute coronary syndrome due to ostial restenosis of a “snorkel” stent.
Cite this article as: El-Haddad H, Resar J. Stenting the Snorkel: PCI of a Restenosed Left Main Stent Placed for Coronary Obstruction after Valve in Valve TAVR. Structural Heart Disease 2019;5(2):48-51. DOI: 10.12945/j.jshd.2019.030.18
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Case Reports
Journal of Structural Heart Disease, April 2019, Volume 5, Issue 2:48-51
DOI: 10.12945/j.jshd.2019.030.18
Stenting the Snorkel: PCI of a Restenosed Left Main Stent Placed for Coronary Obstruction after Valve in Valve TAVR
Hazim El-Haddad, MD, Jon Resar, MD*
Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States
Abstract
Acute coronary artery occlusion is a known complication of transcatheter aortic valve replacement. One bailout strategy to treat acute coronary artery occlusion is deployment of a “snorkel” stent from the coronary artery behind the TAVR valve. While this approach will restore coronary artery patency, the long-term concern of this method is the ability to re-intervene on the stented coronary artery in the future. We demonstrate the complexity of re-intervention in a case of acute coronary syndrome due to ostial restenosis of a “snorkel” stent.
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Cite this article as: El-Haddad H, Resar J. Stenting the Snorkel: PCI of a Restenosed Left Main Stent Placed for Coronary Obstruction after Valve in Valve TAVR. Structural Heart Disease 2019;5(2):48-51. DOI: 10.12945/j.jshd.2019.030.18
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