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Percutaneous Approach With Coil Embolization for Annular Rupture During TAVR

Ravinder Singh Rao, MD, DM
Govind Narayan Sharma, MD, DM
Prashant Varshney, DA, DNB
Kailash Chandra, MD
06/21/2023

Video Supplement to "Percutaneous Approach With Coil Embolization for Annular Rupture During Transcatheter Aortic Valve Replacement" by Rao, et al (June 2023 Clinical Images).

A 78-year-old man with symptomatic bicuspid severe aortic stenosis with LVEF 50% was planned for transcatheter aortic valve replacement (TAVR). Hemodynamics were normal and aortogram showed minimal PVL. Immediately, patient became hemodynamically unstable with electromechanical dissociation. Nonselective left main angiogram showed normal flow to left main but annular rupture in the left coronary sinus.

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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 INSERT BRAND or HMP Global, their employees, and affiliates. 

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