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February 2024 Br J Cardiol 2024;31:40 doi:10.5837/bjc.2024.008

Solving problems at the cath lab

Rita Caldeira da Rocha, Alejandro Diego Nieto, Jesus Garibi, Ignacio Cruz-Gonzalez

Abstract

Case description An 80-year-old woman with severe symptomatic aortic stenosis was scheduled for transcatheter aortic valve implantation (TAVI), following Heart Team decision. Pre-procedural computed tomography (CT) angiogram revealed an area-derived annulus diameter of 23.7 mm, and calcium spur which extended from the coronary cusps commissure until the sinotubular junction. It was decided to implant a balloon-expandable TAVI (Sapien XT™ 26 mm) (figure 1A). Figure 1. A. Transcatheter aortic valve implantation (TAVI) positioning. B. Fluoroscopy showing contrast retention (arrow) outside the aorta and prosthetic valve skirt protusion on

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