Korean Circ J.  2024 Aug;54(8):515-517. 10.4070/kcj.2024.0121.

Worsening Angina Two Years After Transcatheter Aortic Valve Implantation: Late Onset of Valsalva Obstruction

Affiliations
  • 1Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan


Figure

  • Figure 1 Valsalva obstruction. (A) Aortography just after valve implantation. (B-D) Computed tomography 2 years after valve implantation: (B, C) outflow and neo-sinus consistent to broken and dotted line, (D) long axis of the valve. (F-H) Catheter intervention to the right coronary artery: (F) guidewire cross, (G) ultrasounds finding indicating the narrowed anterior interspace, (H) ballooning. (E, I) Aortography before and after percutaneous coronary intervention. (A) Coplanar view. (E, I) Right anterior oblique view. (F, H) Left anterior oblique view.


Reference

1. Seki R, Higuchi R, Saji M, Takamisawa I. Sinus of Valsalva obstruction following TAVR. JACC Cardiovasc Interv. 2020; 13:e43–e44. PMID: 32113925.
2. Ochiai T, Yamanaka F, Yamabe T, et al. Late sinus sequestration after TAVR-in-TAVR rescued by coronary artery bypass grafting. JACC Cardiovasc Interv. 2024; 17:810–813. PMID: 38456881.
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