JACC: Case Reports (Jul 2020)

Complete Embolic Protection of the Cerebral Arteries

  • Johannes Mierke, MD,
  • Anna Winkler, MD,
  • Norman Mangner, MD,
  • Axel Linke, MD

Journal volume & issue
Vol. 2, no. 8
pp. 1103 – 1105

Abstract

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The presence of a left ventricular (LV) thrombus is considered an absolute contraindication to transcatheter aortic valve implantation (TAVI) because of the very high embolic risk. We report a case of TAVI under complete protection of the cerebral arteries in a patient with a large LV thrombus, severely impaired LV function, and no surgical options. (Level of Difficulty: Beginner.)

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