LEFT CORONARY ARTERY STENTING AND TRANSAPICAL AORTIC VALVE IMPLANTATION IN PATIENT WITH ACUTE CORONARY SYNDROME AND SEVERE AORTIC STENOSIS WITH REDUCED LEFT VENTRICULAR EJECTION FRACTION

Highlights

Treatment of coronary lesion and severe aortic stenosis in patients with comorbidities remains a serious issue. Specialists are still debating the appropriate treatment strategy and number of stages of interventions. The uniqueness of the presented case lies in the fact that stenting and transcatheter implantation of the aortic valve were urgently performed in a patient with acute coronary syndrome and severe aortic stenosis. The presented case indicates it is preferable to perform a combined procedure.

Abstract

This paper presents a clinical case of successful treatment of a 72-year-old patient with left main disease and severe degenerative aortic valve stenosis with poor left ventricular ejection fraction. On the second day after admission to the hospital, the patient developed acute myocardial infarction. He underwent emergency percutaneous coronary intervention. However, hemodynamic instability and pulmonary edema persisted. Heart team performed emergency transcatheter transapical aortic valve implantation (MedLab-CT №27), which allowed specialists to stabilize the patient`s condition. The postoperative period proceeded without significant complications; the patient was discharged on the 12^th day.

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