Titlebook: Complex Cases in Structural Heart Intervention; Ofir Koren,Raj Makkar,Jubin Joseph Book 2023 The Editor(s) (if applicable) and The Author(

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-Erythro-3,5-diaminohexanoate dehydrogenase,t enlargement is the optimal strategy of treatment. We present a case of a 91-year-old female with severe symptomatic AS and a high LVOT gradient who had high surgical risk and underwent a successful alcohol septal ablation and TAVR procedure.

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TAVR in Patients with Bicuspid Aortic Valveh can lead to aortic aneurysm and dissection. Recently it seems that newer-generation valves might have outcomes similar to those seen in patients with tricuspid valves. We present a case of a low-risk surgical patient who denies surgery and has undergone a successful TAVR procedure.

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Left Main Coronary Artery Obstruction Following Valve-in-Valve TAVR Procedure Involving Mitroflow Va managed using the salvage technique, percutaneous intervention, coronary artery bypass grafting, and mechanical circulatory support with rotation atherectomy. We present a case of left main coronary artery obstruction and immediate cardiogenic shock following the valve-in-valve TAVR procedure.

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Acute Embolic Occlusion of the Left Coronary Artery Following TAVRent with a high mortality rate. We present a case of 89-year-old female who had an acute coronary obstruction and a massive ischemic infarct during TAVR because of embolic debris. Operators should be familiar with the phenomena, prognostics factors, protective devices, and therapeutic bailout techniques.

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https://doi.org/10.1007/978-3-540-85701-3 acceptable rates of post-procedure paravalvular leakage and 30-day and 1-year mortality. We present a case where TAVR was performed in a 77-year-old male with ELA using a 29 mm balloon-expandable valve and overinflation.