Left Main Coronary Artery Obstruction After Transcatheter Heart Valve Implantation for Aortic Regurgitation
Recommended Citation
Frisoli TM, Hamade H, Sukhon F, Lee J, Dawdy J, Alter J, Jabri A, and Alqarqaz M. Left Main Coronary Artery Obstruction After Transcatheter Heart Valve Implantation for Aortic Regurgitation. JACC Case Rep 2025;31(5):106294.
Document Type
Article
Publication Date
2-4-2026
Publication Title
JACC Case Rep
Keywords
acute coronary syndrome; aortic valve; coronary angiography; percutaneous coronary intervention; valve replacement
Abstract
BACKGROUND: The JenaValve Trilogy transcatheter heart valve (THV) is a percutaneous treatment modality for severe aortic regurgitation. The device is designed to offer stability and lower risk of device migration and coronary occlusion.
CASE SUMMARY: A 59-year-old woman with severe aortic regurgitation underwent implantation of the JenaValve THV. After discharge, the patient presented with acute coronary syndrome. Evaluation revealed a left main coronary thrombus and intermittent obstruction of the left coronary ostium by the native aortic valve leaflet.
DISCUSSION: This case describes the first reported incidence of coronary artery thrombosis after deployment of the JenaValve Trilogy THV, and the role of multimodal imaging in understanding the diagnosis and complex intervention planning.
TAKE-HOME MESSAGES: Aortic valve leaflet obstruction and coronary artery thrombosis are rare complications of JenaValve THV implantation for aortic regurgitation. Multimodal imaging is essential in the diagnosis and management of these complications.
PubMed ID
41396079
ePublication
ePub ahead of print
Volume
31
Issue
5
First Page
106294
Last Page
106294
