ANGIOPLASTY USING ROTATIONAL ATHERECTOMY IN A PATIENT WITH SEVERE AORTIC STENOSIS FOLLOWED BY PERCUTANEOUS AORTIC VALVE IMPLANTATION

Abstract

The percutaneous transcatheter implantation of the aortic valve (TAVI) is an option in cases of severe aortic stenosis. There are many situations that can hinder the TAVI procedure, such as the presence of adjacent coronary artery disease (CAD). CAD may present with calcifications, which makes the hemodynamics team’s approach even more difficult. We describe a case of a previously hypertensive, diabetic octogenarian patient with a prostate cancer with urethral stenosis, chronic non-dialysis kidney disease, paroxysmal atrial fibrillation, heart failure and multivessel CAD with calcifications. Due to the significant surgical risk, it was decided, after a decision by the Heart Team, to perform coronary angioplasty followed by TAVI, and all procedures were successful.