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Right Coronary Artery Obstruction Following Transcatheter Aortic Valve Replacement by Aortic Valve Mass

Samuel D. Maidman, MD; Francesca R. Prandi, MD; Parasuram Krishnamoorthy, MD; Richard Tanner, MD; Lucy Safi, DO; Ranbir Singh, MD; Paul Stelzer, MD; Gilbert H.L. Tang, MD, MSc, MBA; Samin K. Sharma, MD; Annapoorna S. Kini, MD; Stamatios Lerakis, MD, PhD

05/21/2024

Video 1. Transthoracic echocardiogram subcostal view documenting normal biventricular size and function at baseline.

Video 2. Transesophageal echocardiogram mid-esophageal 3-chamber view with X-plane documenting a mobile mass attached to the aortic valve between the right and non-coronary cusps.

Video 3. Three-dimensional transesophageal echocardiogram image documenting the mobile mass attached to the aortic valve between the right and non-coronary cusps.

Video 4. Coronary angiogram showing moderate non-obstructive lesion in the proximal right coronary artery at baseline.

Video 5. Aortogram showing appropriate valve implant depth, with flow present in the right coronary artery.

Video 6. Transthoracic echocardiogram after transcatheter aortic valve replacement deployment: subcostal view documenting normal biventricular size and function.

Video 7. Transthoracic echocardiogram after development of hypotension and polymorphic ventricular tachycardia: subcostal view documenting right ventricular dilation and severe dysfunction.

Video 8. Coronary angiography showing total occlusion of the ostium of the right coronary artery.

Video 9. Coronary angiography showing good flow in the right coronary artery after successful percutaneous coronary intervention.

© 2024 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of the Journal of Invasive Cardiology or HMP Global, their employees, and affiliates. 
 


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