A Very Late Presentation of a Right Coronary Artery Occlusio
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Aortic stenosis is the most common native valve disease affecting up to 5% of the elderly population, and many of these patients are considered high risk for open heart surgery. Transcatheter aortic valve replacement (TAVR) has emerged as an alternative to surgical aortic valve replacement (SAVR) for patients with severe symptomatic aortic stenosis. Despite increasing experience, TAVR is still associated with unexpected complications such as paravalvular aortic regurgitation, conduction disturbances, and ostial coronary occlusion. Coronary ostia occlusion is very rare; however, in cases where this occurs, the left main coronary is more commonly affected and this complication is generally reported immediately after valve implantation.

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