J Transcat Intervent.2021;29:eA20210031.
Basilica procedure for prevention of coronary obstruction during transcatheter aortic valve implantation: case report from Latam
Sidney Munhoz Júnior
, Daniel Diehl
, Estêvão Carvalho de Campos Martins
, Marcio José Montenegro Costa
, Anna Carolina Franco
, Dinaldo Cavalcanti Oliveira
DOI: 10.31160/JOTCI202129A20210031
ABSTRACT
Transcatheter aortic valve implantation is considered a standard treatment for many symptomatic patients with severe aortic stenosis. Coronary artery occlusion after transcatheter aortic valve implantation is associated with a mortality rate of up to 50%. In this case report we described a patient with severe aortic bioprosthesis dysfunction, at high risk of coronary obstruction after transcatheter aortic valve implantation. This patient underwent Basilica procedure followed by valve-in-valve transcatheter aortic valve implantation. The patient demonstrated good improvement and was discharged from hospital after 2 days, without any symptoms. The patient remained asymptomatic at 6 months of follow-up.
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