{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:31:54Z","timestamp":1789425114685,"version":"build-2803163510"},"reference-count":19,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,3,13]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>\n                    This case describes the management of a woman in her 70s with severe symptomatic aortic stenosis and concomitant severe stenosis of the suprarenal abdominal aorta due to \u2018\n                    <jats:italic>c<\/jats:italic>\n                    oral\n                    <jats:italic>r<\/jats:italic>\n                    eef\u2019 calcification of the\n                    <jats:italic>a<\/jats:italic>\n                    ortic wall and lumen (CRA). Due to her religious beliefs as a Jehovah\u2019s Witness regarding the use of blood products, she rejected the option of surgical aortic valve replacement. Transfemoral (TF) delivery of a transcatheter aortic valve was challenged by the presence of CRA. A successful TF transcatheter aortic valve implantation (TAVI) was achieved by the treatment of the CRA with intravascular lithotripsy-assisted angioplasty, followed by delivery and deployment of a self-expanding TAVI valve.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2020-240876","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T11:58:35Z","timestamp":1616500715000},"page":"e240876","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Intravascular lithotripsy-assisted balloon angioplasty to facilitate transfemoral transcatheter aortic valve implantation in a patient with coral reef aorta"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1082-2660","authenticated-orcid":false,"given":"Joseph Patrick","family":"Morris","sequence":"first","affiliation":[{"name":"Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diarmaid","family":"Cadogan","sequence":"additional","affiliation":[{"name":"Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan P","family":"Casserly","sequence":"additional","affiliation":[{"name":"Cardiology, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"key":"2025082801332307000_14.3.e240876.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1278258"},{"key":"2025082801332307000_14.3.e240876.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.11.006"},{"key":"2025082801332307000_14.3.e240876.3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1247382"},{"key":"2025082801332307000_14.3.e240876.4","first-page":"940.e13","article-title":"Coral reef aorta: a rare occlusive disease of the aorta complicating decision making for severe aortic stenosis treatment","volume":"35","author":"Cozzi","year":"2019","journal-title":"Can J Cardiol"},{"key":"2025082801332307000_14.3.e240876.5","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-229179","article-title":"Treatment of symptomatic coral reef aorta by a nitinol self-expanding stent","volume":"12","author":"Vijayvergiya","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082801332307000_14.3.e240876.6","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1159\/000494716","article-title":"A case of rapid progressive kidney dysfunction with severely calcified stenotic aorta","volume":"8","author":"Harada","year":"2018","journal-title":"Case Rep Nephrol Dial"},{"key":"2025082801332307000_14.3.e240876.7","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu163"},{"key":"2025082801332307000_14.3.e240876.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-014-0904-3"},{"key":"2025082801332307000_14.3.e240876.9","doi-asserted-by":"crossref","unstructured":"Cleveland RO , McAteer JA . Physics of Shock-Wave Lithotripsy. In: Smith AD , Badlani GH , Preminger GM , et al , eds. 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