AI Article Synopsis
- - Iatrogenic left main coronary artery ostial stenosis is a rare but serious complication that can occur after aortic valve replacement, possibly due to catheter insertion for cardioplegia.
- - A 69-year-old man, who had normal coronary arteries before surgery, experienced increasing effort angina one year later, leading to a diagnosis of severe stenosis in his left main coronary artery.
- - The condition was successfully treated with a sirolimus-eluting stent, showcasing a new method to address this little-understood but dangerous issue following heart surgery.
Article Abstract
Iatrogenic left main coronary artery ostial stenosis is a rare and late life-threatening complication of aortic valve replacement. The exact causes of this critical condition, despite being still nowadays elusive, are possibly related to the insertion of perfusion catheters into the left coronary system for cardioplegia delivery. We describe the case of a 69-year-old man, with normal coronary arteries documented by preoperative coronary angiography before surgery, who developed 1 year after aortic valve replacement worsening effort angina. A second coronary angiography revealed a severe left main ostial stem stenosis, which was successfully treated by sirolimus-eluting stent deployment. This case demonstrates a new percutaneous approach of this poorly understood, yet potentially fatal complication following aortic valve replacement.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!