AUTHOR=Cook Selma T. , Togni Mario , Cook Stéphane TITLE=Case Report: Double chimney in valve-in-valve procedures for high-risk coronary obstruction JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=10 YEAR=2023 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1270782 DOI=10.3389/fcvm.2023.1270782 ISSN=2297-055X ABSTRACT=

The chimney technique has been utilized to minimize the risk of coronary artery obstruction during valve-in-valve procedures. Here, we present a case involving an 89-year-old female patient with low coronary ostia, severe aortic regurgitation, and intractable heart decompensation caused by degenerated aortic bioprosthesis. The patient underwent a successful transcatheter aortic valve implantation procedure using the chimney technique in both coronary ostia.