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Case Reports
. 2023 Sep 1:23:101992.
doi: 10.1016/j.jaccas.2023.101992. eCollection 2023 Oct 4.

Very Late Sinus of Valsalva Sequestration After Transcatheter Aortic Valve Implantation in Native Aortic Annuli

Homam Ibrahim  1 , Adib Chaus  1 , Cezar Staniloae  1 , Hasan Jilaihawi  1 , Alan Vainrib  1 , Ahmad Alkhalil  1 , Peter Neuberger  1 , Muhammad Saric  1 , Mathew Williams  1
Affiliations
Case Reports

Very Late Sinus of Valsalva Sequestration After Transcatheter Aortic Valve Implantation in Native Aortic Annuli

Homam Ibrahim et al. JACC Case Rep. .

Abstract

Coronary artery obstruction caused by sinus sequestration is well described after transcatheter aortic valve implantation in failed bioprosthetic valves, which usually occurs during or shortly after the transcatheter aortic valve implantation procedure. We report the presentation, management, and outcomes of 2 cases of very late sinus sequestration in native aortic annuli, which has not been described before to our knowledge. (Level of Difficulty: Advanced.).

Keywords: TAVI; coronary obstruction; sinus sequestration.

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Conflict of interest statement

Dr Ibrahim has served as a proctor for Medtronic. Drs Vainrib and Williams have performed consulting for Medtronic. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Case 1 Still frame from diagnostic cardiac catheterization. The blue arrow points to the narrowing between the tubular and the sinus parts of the aorta at the sinotubular junction.
Figure 2
Figure 2
Computed Tomography Angiogram of the Patient in Case 1 Showing Physiologic Orientation of Bioprosthesis Commissures
Figure 3
Figure 3
Case 1 (A) A 3-dimensional rendering of the interaction between the bioprosthesis and native anatomy (implant depth: 1 mm). (B) Adjusted imaging depth allows visualization of the bioprosthesis leaflet base and relation to the left main coronary artery.
Figure 4
Figure 4
Case 2 A 3-dimensional rendering of the interaction between the bioprosthesis and native anatomy. The red dot points to the left main coronary artery.
See this image and copyright information in PMC

References

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