The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

Fatal acute mesenteric ischaemia following transcatheter aortic valve replacement

EuroIntervention 2021;17:588-589. DOI: 10.4244/EIJ-D-20-01015

1. Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain


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 ...

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