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Implantation of transcatheter valves inside degenerated surgical bioprosthesis is nowadays a very good alternative to redo a new cardiac surgery especially in high risk patients. Although procedural success is achieved in most of the patients, these procedures are associated with few potential risks such as coronary occlusion. It is very important to perform an exhaustive study prior to the valve implantation so as to prevent possible fatal complications. In this paper we show that in case of coronary occlusion one possibility to solve it is emergent percutaneous coronary intervention.

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