Fatal acute mesenteric ischaemia following transcatheter aortic valve replacement

Figure 1. Pre- and post-procedure imaging. A) 3D-CT showing severe and extensive calcification of the descending aorta, iliac and femoral arteries along with a chronic common left iliac artery occlusion (yellow arrow). B) Intravascular lithotripsy (IVL) of the right iliac artery (white arrow). C) Iliac angiography post IVL. D) & E) Pre-procedure CT showing a calcified nodule at the origin of the superior mesenteric artery (SMA) without flow compromise (yellow arrows). F) & G) Occlusion of the SMA due to an eruptive calcified nodule protruding into the lumen (yellow arrowheads). H) & I) Abdominal CT showing a large gastric bubble ...