title: Transcatheter aortic valve implantation in patients with left main percutaneous coronary intervention.
abstract: Transcatheter aortic valve implantation (TAVI) is the treatment of choice for severe symptomatic aortic stenosis in inoperable patients, and an alternative treatment for those at high risk. The coexistence of coronary artery disease (CAD) adds morbidity and mortality to the procedure. Prior percutaneous coronary intervention (PCI) has been suggested as safe and related to a better prognosis. However, PCI in the left main coronary artery (LMCA) prior to TAVI has been poorly represented in clinical trials and scarcely reported. Herein are presented three cases of a successful sequential approach by LMCA stenting and TAVI, underlining the importance of clinical and anatomic assessment by a multidisciplinary team. Future studies will be necessary to provide more evidence for this indication.
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain. jcevallo@clinic.ub.es
authors.forename: Joaquim
authors.initials: J
authors.lastname: Cevallos
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Rut
authors.initials: R
authors.lastname: Andrea
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Falces
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Victoria
authors.initials: V
authors.lastname: Martin-Yuste
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Xavier
authors.initials: X
authors.lastname: Freixa
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Barbara
authors.initials: B
authors.lastname: Vidal
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Brugaletta
authors.affiliation: Department of Cardiovascular Surgery, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Castellá
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Mónica
authors.initials: M
authors.lastname: Masotti
authors.affiliation: Department of Cardiology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain.
authors.forename: Manel
authors.initials: M
authors.lastname: Sabaté
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation; D015607:Stents; D016896:Treatment Outcome