Successful percutaneous coronary intervention after implantation of a CoreValve percutaneous aortic valve

Background: The association between aortic valve disease and coronary atherosclerosis is common. In the recent era of percutaneous aortic valve replacement (PAVR), there is little experience with coronary artery intervention after valve implantation. Case report: To our knowledge, this is the first case of successful percutaneous coronary intervention after implantation of a CoreValve percutaneous aortic valve. We report a case of a 79‐year‐old female patient who underwent successful coronary artery intervention few months after a CoreValve's percutaneous implantation for severe aortic valve stenosis. Verifying the position of the used wires (crossing from inside the self expanding frame) is of utmost importance before proceeding to coronary intervention. In this case, crossing the aortic valve, coronary angiography, and multivessel stenting were successfully performed. Conclusion: Percutaneous coronary intervention in patients with previous CoreValve is feasible and safe. © 2008 Wiley‐Liss, Inc.

[1]  Thomas Walther,et al.  Percutaneous aortic valve replacement for severe aortic stenosis in high-risk patients using the second- and current third-generation self-expanding CoreValve prosthesis: device success and 30-day clinical outcome. , 2007, Journal of the American College of Cardiology.

[2]  A. Cribier,et al.  Successful coronary intervention after percutaneous aortic valve replacement , 2007, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[3]  J. Gardin,et al.  Burden of valvular heart diseases: a population-based study , 2006, The Lancet.

[4]  J. Fajadet,et al.  Percutaneous implantation of the corevalve aortic valve prosthesis for patients presenting high risk for surgical valve replacement. , 2006, EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology.

[5]  Thomas Felderhoff,et al.  First report on a human percutaneous transluminal implantation of a self‐expanding valve prosthesis for interventional treatment of aortic valve stenosis , 2005, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[6]  R. Hoffmann,et al.  Cardiovascular risk factors in patients with aortic stenosis predict prevalence of coronary artery disease but not of aortic stenosis: an angiographic pair matched case–control study , 2003, Heart.

[7]  Assaf Bash,et al.  Percutaneous Transcatheter Implantation of an Aortic Valve Prosthesis for Calcific Aortic Stenosis: First Human Case Description , 2002, Circulation.

[8]  Younes Boudjemline,et al.  Steps Toward Percutaneous Aortic Valve Replacement , 2002, Circulation.

[9]  J Kachaner,et al.  Transcatheter implantation of a bovine valve in pulmonary position: a lamb study. , 2000, Circulation.

[10]  S. Lemeshow,et al.  European system for cardiac operative risk evaluation (EuroSCORE). , 1999, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[11]  S. Tansuphaswadikul,et al.  Frequency of angina pectoris and coronary artery disease in severe isolated valvular aortic stenosis. , 1999, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[12]  W. Roberts,et al.  Reported frequency of coronary arterial narrowing by angiogram in patients with valvular aortic stenosis. , 1992, The American journal of cardiology.

[13]  J M Hasenkam,et al.  Transluminal implantation of artificial heart valves. Description of a new expandable aortic valve and initial results with implantation by catheter technique in closed chest pigs. , 1992, European heart journal.

[14]  D. Ramsdale,et al.  Angina, coronary risk factors and coronary artery disease in patients with valvular disease. A prospective study. , 1984, European heart journal.

[15]  G. Grunkemeier,et al.  Aortic valve replacement with coronary bypass grafting. Significant determinants of ten-year survival. , 1983, The Journal of thoracic and cardiovascular surgery.

[16]  S. Nashef,et al.  Eurp-pean system for cardiac operative risk evaluation (Euro SCORE) , 1999 .

[17]  P. Buszman,et al.  Coronary artery stenosis in patients with valvular heart disease. , 1989, Cor et vasa.

[18]  I. Sheiban,et al.  Incidence of coronary artery disease in patients with valvular heart disease. , 1986, Zeitschrift fur Kardiologie.