{"title":"Stenting the Snorkel: PCI of a Restenosed Left Main Stent Placed for Coronary Obstruction after Valve in Valve TAVR","authors":"H. El-Haddad, J. Resar","doi":"10.12945/J.JSHD.2019.030.18","DOIUrl":"https://doi.org/10.12945/J.JSHD.2019.030.18","url":null,"abstract":"Acute coronary artery occlusion is a known compli-cation 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 demon-strate the complexity of re-intervention in a case of acute coronary syndrome due to ostial restenosis of a “snorkel” stent. the Medtronic self-expanding valves, which extend above the coronary ostia by design [4, 5]. The risk of coronary occlusion is increased for valve-in-valve pro-cedures compared to native aortic valves and may be up to 3.5% [4]. Additionally, the height of the coronary ostium is not as straightforward a guide as in a native valve, due to the variable relationship between the native annulus and the bioprosthetic leaflets, and careful imaging is critical in order to understand the patient-specific anatomy [6]. The most common treatment strategy in the event of coronary obstruction during TAVR is PCI with stent deployment, and this is associated with a >90% success rate [4]. This is generally performed by pulling back and deploying a stent that has been pre-delivered to the coronary artery. Another novel option is intentional laceration of the aortic valve leaflet (BASILICA) [7]. With TAVR becoming increasingly common as the indications have expanded, so too will patients returning with coronary artery disease requiring intervention after TAVR.","PeriodicalId":92089,"journal":{"name":"Journal of structural heart disease","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43078371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Left Atrial Appendage Closure with Double Watchman Devices: A Case Report","authors":"F. Alsmadi, M. A. Shah, Mohammad Bara Qattea","doi":"10.12945/J.JSHD.2019.010.18","DOIUrl":"https://doi.org/10.12945/J.JSHD.2019.010.18","url":null,"abstract":"","PeriodicalId":92089,"journal":{"name":"Journal of structural heart disease","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45891257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Thanopoulos, P. Dardas, A. Kallifatidis, Shakeel A. Quireshi
{"title":"Percutaneous Implantation of Venus P-Valve and Melody Valve in a Patient with Dysfunctional Native and Artificial Right Ventricular Outflow Tracts","authors":"B. Thanopoulos, P. Dardas, A. Kallifatidis, Shakeel A. Quireshi","doi":"10.12945/j.jshd.2019.024.18","DOIUrl":"https://doi.org/10.12945/j.jshd.2019.024.18","url":null,"abstract":"","PeriodicalId":92089,"journal":{"name":"Journal of structural heart disease","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47379393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of FFRCT for Evaluation of Left Main Stenosis in a Patient Considered for TAVR","authors":"T. Tagami, R. Safian, Elvis Cami","doi":"10.12945/j.jshd.2019.005.18","DOIUrl":"https://doi.org/10.12945/j.jshd.2019.005.18","url":null,"abstract":"","PeriodicalId":92089,"journal":{"name":"Journal of structural heart disease","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44207018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. D. Barbosa, Jorge Gomez, J. Alonso, Judith Ackerman, R. Chiabrando
{"title":"Is it Possible to Close a VSD in a Small Critically Ill Patient Without Artery Puncture Using a Cera® PDA Device?","authors":"J. D. Barbosa, Jorge Gomez, J. Alonso, Judith Ackerman, R. Chiabrando","doi":"10.12945/J.JSHD.2019.011.18","DOIUrl":"https://doi.org/10.12945/J.JSHD.2019.011.18","url":null,"abstract":"","PeriodicalId":92089,"journal":{"name":"Journal of structural heart disease","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45882496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandeep M Patel, J. Lipinski, B. Sareyyupoglu, G. Attizzani, H. Bezerra
{"title":"Closure of Patent Foramen Ovale via Veno-Venous Extra-Corporeal Membrane Oxygenation Circuit for Refractory Hypoxia","authors":"Sandeep M Patel, J. Lipinski, B. Sareyyupoglu, G. Attizzani, H. Bezerra","doi":"10.12945/J.JSHD.2019.004.18","DOIUrl":"https://doi.org/10.12945/J.JSHD.2019.004.18","url":null,"abstract":"","PeriodicalId":92089,"journal":{"name":"Journal of structural heart disease","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49470886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}