case_images: PMC3987397_01
case_images: Computed tomography with height measurement of coronary arteries in long-axis
  view, showing right coronary artery (a) and left coronary artery (b). Sinus of
  Valsalva measurement obtained from the mean between the larger and smallest
  diameter on short-axis view (c). Aortography showing occlusion of right
  coronary artery after transcatheter aortic valve implantation (d). Angiography
  of right coronary artery after successful implantation of two stents (e).
case_images: abc-102-01-0093-g01.jpg
case_images: PMC3987397_01_abc-102-01-0093-g01.jpg
case_images: f01
case_images: On angiotomography it was verified the sinus of Valsalva with mean diameter of 26 mm, valve annulus of 24 mm and height of right coronary artery (RCA) and left main (LM) of 10.4 mm and 9.6 mm, respectively (Figure 1). On aortography it was detected complete obstruction of RCA ostium (Figure 1). A condition of shock and cardiac arrest had quickly begun, so that cardiopulmonary resuscitation and angioplasty with implantation of 2 drug-eluting stent of the RCA were successfully performed (Figure 1).
case_images: PMC3987397_02
case_images: Aortography showing obstruction of the left main after transcatheter aortic
  valve implantation (a), and angioplasty with stent implantation (b) showing
  good final angiographic result (c).
case_images: abc-102-01-0093-g02.jpg
case_images: PMC3987397_02_abc-102-01-0093-g02.jpg
case_images: f02
case_images: Control aortography showed complete obstruction of LM ostium (Figure 2). Drug-eluting stent implantation in the LM was performed with restoration of coronary flow and immediate reversal of shock condition (Figure 2).
case_images: PMC3987397_03