Iatrogenic Left Main Coronary Artery Stenosis Following Aortic and Mitral Valve Replacement

Iatrogenic Left Main Coronary Artery Stenosis Following Aortic and Mitral Valve Replacement

Iatrogenic coronary artery disease following prosthetic valve implantation is a rare complication. This may result from mechanical injury in the intraoperative period. The use of balloon tip perfusion catheter presumably provides the initial insult with local vessel wall hypoxia. Once the diagnosis...

Full description

Bibliographic Details
Main Authors: Jadan Alsaddah, Saad Alkandari, Hany Younan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Heart Views
Subjects:
Iatrogenic
left main stenosis
valve replacement
Online Access:http://www.heartviews.org/article.asp?issn=1995-705X;year=2015;volume=16;issue=1;spage=37;epage=39;aulast=Alsaddah
Description
Summary:Iatrogenic coronary artery disease following prosthetic valve implantation is a rare complication. This may result from mechanical injury in the intraoperative period. The use of balloon tip perfusion catheter presumably provides the initial insult with local vessel wall hypoxia. Once the diagnosis of coronary ostial stenosis is established, the procedure of choice is coronary artery bypass surgery. We report a case of a young lady who underwent aortic and mitral valves replacement for infective endocarditis. She was then diagnosed with ostial left main stem coronary stenosis after presenting with atypical symptoms. The patient eventually underwent coronary artery bypass surgery.
ISSN:1995-705X

Similar Items