Left main coronary obstruction despite successful BA-BASILICA in a patient with a small Mitroflow valve and a low coronary ostium, effaced sinus, and very narrow VTC. BA-BASILICA allowed successful left main PCI in an orthotopic fashion, through the cells of the THV.
Abbreviations: PCI – percutaneous coronary intervention, THV – transcatheter heart valve, VTC – valve to coronary distance