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You are here: Contents > 2018-19 > Volume 28 Number 2 (2018-19) > CASE REPORT > Transcatheter Aortic Valve Implantation in Patients with Percutaneous Intervention at the Left Main Coronary Artery

Transcatheter Aortic Valve Implantation in Patients with Percutaneous Intervention at the Left Main Coronary Artery

Athanasios Kolyviras1, Georgios Georgiopoulos2, Dimitrios Oikonomou3,4, Vaios Tzifos1

1Interventional Cardiology Department, Henry Dunant Hospital, Athens, Greece
2Cardiology Department, ‘Hippokration’ Hospital, University of Athens, Athens, Greece
3Cardiology Department, ‘Evaggelismos’ General Hospital of Athens, Greece
4Electronic correspondence: jimoik4@hotmail.com

Transcatheter aortic valve implantation (TAVI) is recommended for the treatment of severe symptomatic aortic stenosis in high-risk patients. Candidates for TAVI may present with coexistent significant left main coronary artery (LMCA) disease. Accumulating evidence suggests that TAVI plus percutaneous coronary intervention (PCI) in LMCA represents a feasible option for treatment of these patients. However, timing of the procedure, the significance of LMCA

lesion anatomy and type of transcatheter valve remain debatable factors. Herein is reported the successful use of TAVI after ostial LMCA PCI in two consecutive patients. Cohort studies with long-term follow up are warranted to upgrade the level of evidence for TAVI in patients with concomitant significant LMCA disease and severe aortic stenosis.

The Journal of Heart Valve Disease 2018-19;28:67-69

Transcatheter Aortic Valve Implantation in Patients with Percutaneous Intervention at the Left Main Coronary Artery

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