Volume 103, Issue 6 pp. 1069-1073
CASE REPORT

Novel valve-in-surgical bioprosthetic transcatheter aortic valve replacement: Undermining iatrogenic coronary obstruction with radiofrequency needle (UNICORN)

Cullen E. Buchanan MD

Cullen E. Buchanan MD

Department of Medicine-Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

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Mina Iskander MD

Mina Iskander MD

Department of Medicine-Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

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Saif Anwaruddin MD

Saif Anwaruddin MD

Department of Medicine-Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

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Peter J. Mason MD, MPH

Corresponding Author

Peter J. Mason MD, MPH

Department of Medicine-Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

Correspondence Peter J. Mason, Division of Cardiovascular Medicine, Medical College of Wisconsin - The Hub for Collaborative Medicine, 8701 Watertown Plank Rd., 5th Floor, Milwaukee, WI 53226, USA.

Email: [email protected]

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First published: 08 April 2024
Citations: 1

Abstract

An 86-year-old female with history of surgical aortic valve replacement presented with clinical signs of heart failure. Echocardiography revealed a reduction in left ventricular systolic function and severe bioprosthetic aortic valve dysfunction. This is the first reported case of valve-in-valve transcatheter aortic valve replacement with concomitant undermining iatrogenic coronary obstruction with radiofrequency needle procedure in a surgical bioprosthetic valve.

CONFLICT OF INTEREST STATEMENT

Saif Anwaruddin—Consultant/proctor: Edwards Lifesciences, Medtronic; Equity: East End Medical. The other authors declare no conflict of interest.

DATA AVAILABILITY STATEMENT

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

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