Evidence map›Paper›PMID 40118636›Full record

ArticleJACC. Case reports2025

Valve-in-Valve TAVR Complicated by Left Main Coronary Obstruction Salvaged by Left Atrial VA-ECMO.

Hafez Golzarian, Abdelrahman Osman, Anna C Kleman, Mallory Knous, Janelle M Fields, Andrew H Macke, Emily Shappell, Amanda D Laird, William C Cole, John Sirak and 1 more

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hafez GolzarianInternal Medicine Residency Program, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA; Cardiovascular Disease Fellowship Program, HCA Houston Healthcare-Kingwood/University of Houston College of Medicine, Houston, Texas, USA.
Abdelrahman OsmanUniversity of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Anna C KlemanStructural Heart & Intervention Center, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
Mallory KnousStructural Heart & Intervention Center, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
Janelle M FieldsStructural Heart & Intervention Center, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
Andrew H MackeStructural Heart & Intervention Center, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
Emily ShappellStructural Heart & Intervention Center, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
Amanda D LairdDepartment of Critical Care, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
William C ColeDepartment of Critical Care, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
John SirakDepartment of Cardiothoracic Surgery, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA.
Sandeep M PatelStructural Heart & Intervention Center, Mercy Health-St. Rita's Medical Center, Lima, Ohio, USA. Electronic address: SMPatel@mercy.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery obstruction (CAO) is a life-threatening complication of valve-in-valve transcatheter aortic valve replacement (TAVR) often necessitating expeditious intervention and hemodynamic support. CASE SUMMARY: We present the case of a patient undergoing valve-in-valve TAVR who endured cardiac arrest secondary to CAO due to leaflet impingement, necessitating immediate venoarterial extracorporeal membrane oxygenation support. Subsequent percutaneous coronary intervention using a workhorse guidewire and stent successfully restored coronary flow. DISCUSSION: We describe an order of operations protocol used at our center for such cases elucidating the logistics and implementation of the strategy that allowed for successful resuscitation of our patient. The increasing complexity of TAVR procedures necessitates proceduralists' familiarity with advanced bailout techniques and multidisciplinary team approaches to address such critical complications. TAKE-HOME MESSAGE: This case highlights the importance of prompt recognition, hemodynamic stabilization with venoarterial extracorporeal membrane oxygenation, and emergent percutaneous coronary intervention in managing CAO post-TAVR.

Indexed as

aortic valve replacementcardiogenic shockcoronaryhemodynamicsmechanical circulatory support

Identifiers

PMID40118636
PMCPMC12011160

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.