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.
Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
Creators
Munish Sharma - Easton Hospital
Daniel Mascarenhas - Resident Physician, Department of Internal Medicine, Easton Hospital, Easton, PA, USA. Clinical Professor of Medicine Drexel University College of Medicine, Interventional Cardiologist, Easton Hospital, Easton, PA, USA
Mahesh C Sharma - Surgery
Publication Details
Clinical medicine insights. Case reports, v 9(2016), pp 111-113
Publisher
Libertas Academica
Resource Type
Journal article
Language
English
Academic Unit
Surgery
Web of Science ID
WOS:000388687600001
Scopus ID
2-s2.0-85012134616
Other Identifier
991019174051804721
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