Complete Embolic Protection of the Cerebral Arteries: TAVI Despite Large Left Ventricular Thrombus

Johannes Mierke; Anna Winkler; Norman Mangner; Axel Linke

doi:10.1016/j.jaccas.2020.05.070

Complete Embolic Protection of the Cerebral Arteries: TAVI Despite Large Left Ventricular Thrombus

JACC Case Rep. 2020 Jul 15;2(8):1103-1105. doi: 10.1016/j.jaccas.2020.05.070. eCollection 2020 Jul.

Authors

Johannes Mierke¹, Anna Winkler¹, Norman Mangner¹, Axel Linke¹

Affiliation

¹ Technische Universität Dresden, Department of Internal Medicine and Cardiology, Herzzentrum Dresden, University Clinic, Dresden, Germany.

Abstract

The presence of a left ventricular (LV) thrombus is considered an absolute contraindication to transcatheter aortic valve implantation (TAVI) because of the very high embolic risk. We report a case of TAVI under complete protection of the cerebral arteries in a patient with a large LV thrombus, severely impaired LV function, and no surgical options. (Level of Difficulty: Beginner.).

Keywords: LV, left ventricular; TAVI; TAVI, transcatheter aortic valve implantation; embolic protection device; left ventricular thrombus.