{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:28:25Z","timestamp":1769084905009,"version":"3.49.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":991,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81700301"],"award-info":[{"award-number":["81700301"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Scientific Research Foundation of Education Department of Liaoning Province","award":["LZ2020058"],"award-info":[{"award-number":["LZ2020058"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81700301"],"award-info":[{"award-number":["81700301"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Coronary artery occlusion (CAO) is a rare but life-threatening complication of transcatheter aortic valve implantation (TAVI). The mechanism of CAO is the displacement of the native calcified valve leaflet over the coronary ostium. Here, we report on a woman who experienced sudden cardiac arrest and abrupt CAO during TAVI, which was caused by two different original obstructions, a rupture of aortic plaque or a partial tear of the aortic intima blocking the upper 2\/3 of the left main trunk (LMT) ostium, and the transcatheter heart valve (THV) blocking the lower 1\/3 of the LMT ostium. She was eventually successfully treated with the chimney stenting technique. Aortography other than coronary angiography was used to ascertain CAO. In patients presenting with abrupt cardiac arrest or cardiogenic shock with LMT occlusion, there must be prompt identification, and the causes of CAO may be various and rare. The identification of CAO relies not only on CAG but also on aortography, especially if the locations and origins of obstructions are special. Supportive therapy with an attempt at percutaneous revascularization is necessary. Pre-procedural assessment is crucial prior to TAVI interventions. In cases with high risk of CAO, upfront coronary artery protection can be provided.<\/jats:p>","DOI":"10.1002\/ehf2.14319","type":"journal-article","created":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T03:18:32Z","timestamp":1677295112000},"page":"1467-1472","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiac Arrest Caused by Coronary Occlusion During Transcatheter Aortic Valve Implantation: A Unique Cause"],"prefix":"10.1093","volume":"10","author":[{"given":"Xin","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Cardiology, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8178-2478","authenticated-orcid":false,"given":"Feifei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoxiao","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Ultrasound, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinqiu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Luan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Intensive Care Unit, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ran","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The First Affiliated Hospital of Dalian Medical University , Dalian ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,2,25]]},"reference":[{"key":"2026012114120843200_ehf214319-bib-0001","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1016\/j.jacc.2013.07.040","article-title":"Predictive factors, management, and clinical outcomes of coronary obstruction following transcatheter aortic valve implantation: insights from a large multicenter registry","volume":"62","author":"Ribeiro","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"2026012114120843200_ehf214319-bib-0002","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.jcin.2020.01.227","article-title":"Chimney stenting for coronary occlusion during TAVI: insights from the chimney registry","volume":"13","author":"Mercanti","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"key":"2026012114120843200_ehf214319-bib-0003","first-page":"e35","article-title":"2020 ACC\/AHA guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"143","author":"Otto","year":"2021","journal-title":"Circulation"},{"key":"2026012114120843200_ehf214319-bib-0004","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1093\/eurheartj\/ehab395","article-title":"2021 ESC\/EACTS guidelines for the management of valvular heart disease","volume":"43","author":"Vahanian","year":"2022","journal-title":"Eur Heart J"},{"key":"2026012114120843200_ehf214319-bib-0005","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.jcin.2012.11.014","article-title":"Coronary obstruction following transcatheter aortic valve implantation: a systematic review","volume":"6","author":"Ribeiro","year":"2013","journal-title":"JACC Cardiovasc Interv"},{"key":"2026012114120843200_ehf214319-bib-0006","doi-asserted-by":"crossref","first-page":"1513","DOI":"10.1016\/j.jacc.2018.01.066","article-title":"Delayed coronary obstruction after transcatheter aortic valve replacement","volume":"71","author":"Jabbour","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"2026012114120843200_ehf214319-bib-0007","first-page":"E823","article-title":"A unique cause of coronary obstruction after transcatheter aortic valve replacement","volume":"98","author":"Chang","year":"2021","journal-title":"Catheter Cardiovasc Interv"},{"key":"2026012114120843200_ehf214319-bib-0008","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/ehjcr\/ytaa207","article-title":"Non-ST-elevation myocardial infarction after complex percutaneous coronary intervention and transcatheter aortic valve implantation: a case report of bioprosthesis-related delayed coronary obstruction and its difficult diagnosis","volume":"4","author":"Rudzi\u0144ski","year":"2020","journal-title":"Eur Heart J Case Rep"},{"key":"2026012114120843200_ehf214319-bib-0009","first-page":"481","article-title":"Risk and mitigation of coronary obstruction in transcatheter aortic valve replacement","volume":"10","author":"Medranda","year":"2021","journal-title":"Interv Cardiol Clin"},{"key":"2026012114120843200_ehf214319-bib-0010","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.ijcard.2016.04.185","article-title":"Impact of preparatory coronary protection in patients at high anatomical risk of acute coronary obstruction during transcatheter aortic valve implantation","volume":"217","author":"Yamamoto","year":"2016","journal-title":"Int J Cardiol"},{"key":"2026012114120843200_ehf214319-bib-0011","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/j.jacc.2015.10.103","article-title":"Outcomes in patients with transcatheter aortic valve replacement and left main stenting: the TAVR-LM registry","volume":"67","author":"Chakravarty","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"2026012114120843200_ehf214319-bib-0012","first-page":"1197","article-title":"Preventing coronary obstruction during transcatheter aortic valve replacement. From computed tomography to BASILICA","volume":"12","author":"Lederman","year":"2019","journal-title":"J Am Coll Cardiol Cardiovasc Interv"}],"container-title":["ESC Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ehf2.14319","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ehf2.14319","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/10\/2\/1467\/65051394\/eschf_10_2_1467.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/10\/2\/1467\/65051394\/eschf_10_2_1467.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:13:26Z","timestamp":1769022806000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eschf\/article\/10\/2\/1467\/8304933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,25]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,2,25]]},"published-print":{"date-parts":[[2023,4,1]]}},"URL":"https:\/\/doi.org\/10.1002\/ehf2.14319","relation":{},"ISSN":["2055-5822"],"issn-type":[{"value":"2055-5822","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,4]]},"published":{"date-parts":[[2023,2,25]]},"assertion":[{"value":"2022-06-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}