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Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
Journal article   Open access   Peer reviewed

Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report

Munish Sharma, Daniel Mascarenhas and Mahesh C Sharma
Clinical medicine insights. Case reports, v 9(2016), pp 111-113
28 Nov 2016
PMID: 27920592
url
https://doi.org/10.4137/ccrep.s40851View
Published, Version of Record (VoR)CC BY-NC V4.0 Open
url
https://doi.org/10.4137/CCRep.S40851View
Published, Version of Record (VoR) Open

Abstract

aortic valve replacement Case Report coronary ostial stenosis percutaneous coronary intervention
Coronary ostial stenosis is a rare but potentially life-threatening complication of aortic valve replacement (AVR). It can present potential complications such as acute coronary syndrome, left ventricular failure, ventricular arrhythmias, or sudden death. Exact pathogenetic mechanism is not known, but a few hypotheses have been proposed. We present a case of left main coronary stenosis 11 months after AVR was done for symptomatic critical aortic stenosis. High index of clinical suspicion and timely coronary angiography helped to determine the exact etiology. A percutaneous coronary intervention was done emergently. The patient has done very well so far.

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Web of Science research areas
Cardiac & Cardiovascular Systems
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