title: Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery.
abstract: We describe the first case of implantation of a transcatheter aortic valve implantation (TAVI) in a patient with an anomalous origin of the right coronary artery, coursing in between the aorta and pulmonary truncus to the right. After assessment of the risk of compression of the anomalous origin of the right coronary artery from the left coronary sinus (ARCA), the procedure was performed without complication. A brief discussion of the pathophysiology of ARCA is provided and the implications for TAVI as well as our recommendations are offered.
authors: Cardiology Unit, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa.
authors: Hellmuth
authors: H
authors: Weich
authors: Christelle
authors: C
authors: Ackermann
authors: Hofmeyr
authors: H
authors: Viljoen
authors: Jacques
authors: J
authors: van Wyk
authors: Thomas
authors: T
authors: Mabin
authors: Anton F
authors: AF
authors: Doubell
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome