Rescue Management of a Coronary Artery Occlusion During a Transcatheter Aortic Valve Replacement

Abstract Structural heart procedures encompass a growing field in cardiac anesthesia. With innovated techniques and procedures being performed more frequently by interventional cardiologists and cardiothoracic surgeons, anesthetic management must evolve as well. In this case report we discuss the management of a patient undergoing a transfemoral transcatheter aortic valve replacement complicated by left main coronary occlusion- a rare complication of this common procedure. Knowledge of potential procedural complications and pertinent patient risk factors must become part of our repertoire as cardiac anesthesiologist. Here we shed light to certain patient risk factors that can contribute to devastating procedural complications.