Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2020; 8(4): 815-819
Published online Feb 26, 2020. doi: 10.12998/wjcc.v8.i4.815
Delayed right coronary ostial obstruction after J-valve deployment in transcatheter aortic valve implantation: A case report
Zhao Xu, Hong Yu, Peng Liang
Zhao Xu, Hong Yu, Peng Liang, Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, Chengdu 610041, Sichuan Province, China
Author contributions: Xu Z and Yu H gathered medical records of the patient; Xu Z, Yu H and Peng L wrote the paper.
Supported by the National Natural Science Foundation of China, No. 81600918.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Peng Liang, MD, Associate Professor, Department of Anesthesiology, West China Hospital, Sichuan University and The Research Units of West China (2018RU012), Chinese Academy of Medical Sciences, No. 37 Guoxue Alley, Chengdu 610041, Sichuan Province, China. 39485572@qq.com
Received: November 1, 2019
Peer-review started: November 1, 2019
First decision: December 4, 2019
Revised: December 23, 2019
Accepted: January 1, 2020
Article in press: January 15, 2020
Published online: February 26, 2020
Core Tip

Core tip: Right coronary artery obstruction during transcatheter aortic valve implantation (TAVI) is relatively rare. The unique pathophysiological findings of this case were thoroughly described. Prompt recognition by anesthesiologists of this complication during TAVI is particularly important. Heart team approach has been proven to be effective and efficient in emergencies during TAVI. Sufficient knowledge about the procedure is required by the whole team. A comprehensive preoperative evaluation should be performed and emergency protocols should be established in advance so that prompt and right decisions can be made and ensure timely resuscitation of the patients.