Under-deployed TAVI with occluded Left main and severe aortic regurgitation; Bailout chimney-in-chimney stenting & aggressive post-dilatation saves the day

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Abstract

Narrow calcific aortic roots with low coronary heights present challenges for a successful trans-catheter aortic valve replacement. We describe a case where pre-emptive coronary protection and chimney stent-in-stent procedure was successfully performed during a cardiac arrest secondary to coronary occlusion and restricted TAVI valve deployment in such an anatomy.

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europepmc
last seen: 2026-05-19T01:45:01.086888+00:00