A Case of CABG in a Patient with High Risk of Coronary Obstruction during TAV-in-TAV

Satoshi Sakakibara; Koichi Maeda; Kazuo Shimamura; Kizuku Yamashita; Ai Kawamura; Daisuke Yoshioka; Shigeru Miyagawa

doi:10.5761/atcs.cr.22-00038

This article has now been updated. Please use the final version.

A Case of CABG in a Patient with High Risk of Coronary Obstruction during TAV-in-TAV

Satoshi Sakakibara, Koichi Maeda, Kazuo Shimamura, Kizuku Yamashita, Ai Kawamura, Daisuke Yoshioka, Shigeru Miyagawa

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Keywords: aortic valve stenosis, transcatheter aortic valve implantation, TAV-in-TAV, coronary obstruction

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.22-00038

DOI https://doi.org/10.5761/atcs.cr.22-00038

The final version of this article is now available: Vol. 30 (2024), No. 1

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Abstract

A 94-year-old man who underwent transcatheter aortic valve (TAV) replacement 6 years ago was admitted because of exertional dyspnea. Transthoracic echocardiography revealed severe aortic regurgitation owing to TAV dysfunction. The patient was considered to have a high risk of occlusion of the sinus of Valsalva during TAV-in-TAV. Therefore, we performed TAV-in-TAV concomitant with coronary artery bypass grafting (CABG). The postoperative course was uneventful, and computed tomography 9 months later revealed patency of both the grafts. Concomitant CABG could be considered as one of the options in patients with a high risk of coronary occlusion during TAV-in-TAV.

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