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

Munish Sharma | Zendy; Daniel A.N. Mascarenhas | Zendy

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

Author(s) -

Munish Sharma,

Daniel A.N. Mascarenhas

Publication year - 2016

Publication title -

clinical medicine insights case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.187

H-Index - 12

ISSN - 1179-5476

DOI - 10.4137/ccrep.s40851

Subject(s) - medicine , cardiology , stenosis , percutaneous coronary intervention , aortic valve replacement , complication , valve replacement , acute coronary syndrome , sudden cardiac death , myocardial infarction

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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