title: Rare complication of circumflex artery occlusion during transfemoral aortic valve replacement (TAVR).
abstract: Circumflex artery occlusion is an unusual but grave complication that can be intra-operatively challenging to identify. Various modalities of imaging are possible during transfemoral aortic valve replacement (TAVR). Fluoroscopy and/or transesophageal echocardiography maybe used for assessment during and after TAVR. Imaging dilemma can cause delay or alter diagnosis. We report a case of an imaging complication during TAVR which might have modified the outcome of the procedure.
authors.affiliation: Department of Anesthesia and Intensive Medicine, Heart Center, University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany, chirojit.mukherjee@medizin.uni-leipzig.de.
authors.forename: Chirojit
authors.initials: C
authors.lastname: Mukherjee
authors.forename: Joergen
authors.initials: J
authors.lastname: Banusch
authors.forename: Joerg
authors.initials: J
authors.lastname: Ender
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography; D003326:Coronary Circulation; D054059:Coronary Occlusion / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D005263:Femoral Artery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D016896:Treatment Outcome