摘要
Balloon aortic valvuloplasty is often used as a palliative measure or as a bridge to transcatheter aortic valve replacement in the management of aortic stenosis in high risk or inoperable patients. Severe aortic stenosis coexisting with coronary artery dis-ease is not uncommon. In these circumstances, adjuvant percutaneous coronary intervention may be warranted. The safety and efficacy of combined valve and coronary intervention strategies has been recently studied. An increased incidence of complications when both procedures are performed in the same setting may throw new challenges. We report a case of fatal acute stent thrombosis following balloon aortic valvuloplasty and percutaneous coronary intervention.
Balloon aortic valvuloplasty is often used as a palliative measure or as a bridge to transcatheter aortic valve replacement in the management of aortic stenosis in high risk or inoperable patients. Severe aortic stenosis coexisting with coronary artery dis-ease is not uncommon. In these circumstances, adjuvant percutaneous coronary intervention may be warranted. The safety and efficacy of combined valve and coronary intervention strategies has been recently studied. An increased incidence of complications when both procedures are performed in the same setting may throw new challenges. We report a case of fatal acute stent thrombosis following balloon aortic valvuloplasty and percutaneous coronary intervention.
作者
Puneeth Shridhar
Triston Smith
Ramzi Khalil
Gustav Eles
David Lasorda
Young Jae Chun
Puneeth Shridhar;Triston Smith;Ramzi Khalil;Gustav Eles;David Lasorda;Young Jae Chun(Department of Bioengineering, University of Pittsburgh, Pittsburgh, USA;Department of Cardiology, Wheeling Hospital, Wheeling, USA;Department of Cardiology, Allegheny General Hospital, Pittsburgh, USA;Department of Industrial Engineering, University of Pittsburgh, Pittsburgh, USA;McGowan Institute for Regenerative Medicine, Pittsburgh, USA)
