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Percutaneous coronary intervention after transcatheter aortic valve implantation
  1. Vincent Michiels,
  2. Christiaan Vrints,
  3. Johan Bosmans
  1. Department of Cardiology, Antwerp University Hospital, Edegem, Belgium
  1. Correspondence to Dr Vincent Michiels, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium; vincent.michiels{at}

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An 88-year-old woman without medical history initially presented with complaints of angina (Braunwald classification IB) and dyspnoea on exertion. Cardiac evaluation revealed severe aortic valve insufficiency grade 4/4 without aortic root dilatation and with preserved left ventricular ejection fraction, combined with a significant stenosis …

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