{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:02Z","timestamp":1753876202028,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Single coronary artery is a rare coronary artery anomaly with an incidence of &amp;lt;0.03%. The coexistence of coronary artery anomalies with severe aortic stenosis is extremely rare. Due to the singularity of the coronary artery orifice, the most concerning risk of transcatheter aortic valve implantation (TAVI) in such patients is coronary occlusion, which may very well be life-threatening.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>An 83-year-old female complaining of chest pain was referred to our hospital for severe aortic stenosis. The multi-slice computed tomography showed a congenital single coronary artery originating from the right sinus of Valsalva. The left coronary artery branched off of the right coronary artery, and passed between the aorta and main pulmonary artery. The heart team of the hospital decided to perform TAVI via femoral artery with a balloon-expandable prosthesis, with coronary angioplasty devices on standby in case of coronary occlusion. The TAVI procedure was performed successfully without coronary occlusion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Although there have been some case reports of TAVI in patients with single coronary artery, little is known about the safety of TAVI in such cases, and which device (such as the balloon-expandable or the self-expandable prosthesis) is preferable. From this particular case, and accumulation of past and various TAVI experience, the balloon-expandable prosthesis can be a safe device choice in carefully selected patients with coronary artery anomalies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac192","type":"journal-article","created":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T16:47:38Z","timestamp":1651769258000},"source":"Crossref","is-referenced-by-count":1,"title":["Transcatheter aortic valve implantation with a balloon-expandable prosthesis in a patient with single coronary artery: a case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7623-1057","authenticated-orcid":false,"given":"Makoto","family":"Furugen","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, Hokkaido Cardiovascular Hospital, 1-30 South27 West13, Chuo-ku, Sapporo City 064-8622, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azusa","family":"Furugen","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Hokkaido Cardiovascular Hospital, 1-30 South27 West13, Chuo-ku, Sapporo City 064-8622, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, 1-30 South27 West13, Chuo-ku, Sapporo City 064-8622, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirosato","family":"Doi","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, 1-30 South27 West13, Chuo-ku, Sapporo City 064-8622, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"2022051716040495200_ytac192-B1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1002\/ccd.1810210110","article-title":"Coronary artery anomalies in 126,595 patients undergoing coronary arteriography","volume":"21","author":"Yamanaka","year":"1990","journal-title":"Cathet Cardiovasc Diagn"},{"key":"2022051716040495200_ytac192-B2","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1016\/j.jacc.2012.01.075","article-title":"Transcatheter aortic valve replacement with coronary artery protection performed in a patient with an anomalous left main coronary artery","volume":"60","author":"Giri","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"2022051716040495200_ytac192-B3","first-page":"342","article-title":"Transcatheter aortic valve implantation with either coreValve or SAPIEN XT devices in patients with a single coronary artery","volume":"24","author":"Sorbets","year":"2012","journal-title":"J Invasive Cardiol"},{"key":"2022051716040495200_ytac192-B4","doi-asserted-by":"crossref","first-page":"357","DOI":"10.5152\/balkanmedj.2016.150601","article-title":"TAVI in a patient with single coronary artery: the choice of self-expandable valve may be reasonable","volume":"33","author":"Dursun","year":"2016","journal-title":"Balkan Med J"},{"key":"2022051716040495200_ytac192-B5","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1002\/ccd.23012","article-title":"Transcatheter aortic valve replacement in a patient with an anomalous origin of the right coronary artery","volume":"78","author":"Weich","year":"2011","journal-title":"Catheter Cardiovasc Interv"},{"key":"2022051716040495200_ytac192-B6","doi-asserted-by":"crossref","first-page":"1687","DOI":"10.1093\/eurheartj\/ehr011","article-title":"Percutaneous aortic valve implantation in severe stenosis associated with anomalous origin of the circumflex coronary artery","volume":"32","author":"Mennuni","year":"2011","journal-title":"Eur. Heart J"},{"key":"2022051716040495200_ytac192-B7","doi-asserted-by":"crossref","first-page":"3481","DOI":"10.1016\/j.radcr.2021.08.032","article-title":"Rare malignant anomalous right coronary artery incidentally detected by dual source computed tomography angiography in an adult referred for transcatheter aortic valve implantation","volume":"16","author":"Marcucci","year":"2021","journal-title":"Radiol Case Reports"},{"key":"2022051716040495200_ytac192-B8","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1161\/CIRCULATIONAHA.119.043971","article-title":"Impact of Sapien 3 balloon-expandable versus Evolut R self-expandable transcatheter aortic valve implantation in patients with aortic stenosis: data from a nationwide analysis","author":"Deharo","year":"2020","journal-title":"Circulation"},{"key":"2022051716040495200_ytac192-B9","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1093\/eurheartj\/ehaa036","article-title":"Comparison of newer generation self-expandable vs. balloon-expandable valves in transcatheter aortic valve implantation: the randomized SOLVE-TAVI trial","volume":"41","author":"Thiele","year":"2020","journal-title":"Eur Heart J"},{"key":"2022051716040495200_ytac192-B10","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/j.jcin.2019.12.026","article-title":"5-Year outcomes after TAVR with balloon-expandable versus self-expanding valves: results from the CHOICE randomized clinical trial","volume":"13","author":"Abdel-Wahab","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"key":"2022051716040495200_ytac192-B11","doi-asserted-by":"crossref","first-page":"1900","DOI":"10.1093\/eurheartj\/ehaa167","article-title":"Balloon-expandable or self-expandable transcatheter heart valves. 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