Successful Coronary Protection during TAVI in Heavily Calcified Aortic Leaflets in Patient with Short and Low Left Coronary System

<div>Balloon aortic valvuloplasty, notice the deformed wires and the large piece of calcium in the left cusp moved right over the left main coronary artery (arrows). Simultaneous aortic root injection showing decreased coronary flow TIMI-2. Echocardiogram demonstrated severe aortic stenosis with mean aortic valve pressure gradient of 68.6 mmHg and peak velocity of 5.15 m/s.</div>

Case Reports in Cardiology

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Figure 2

Figure 2: Successful Coronary Protection during TAVI in Heavily Calcified Aortic Leaflets in Patient with Short and Low Left Coronary System 