Coronary stenting for iatrogenic stenosis of the left main coronary artery post-aortic valve replacement: an alternative treatment? | Zendy

Yogesh Raja | Zendy; Helen Routledge | Zendy; Sagar N. Doshi | Zendy

Open Access

Coronary stenting for iatrogenic stenosis of the left main coronary artery post-aortic valve replacement: an alternative treatment?

Author(s) -

Yogesh Raja,

Helen Routledge,

Sagar N. Doshi

Publication year - 2010

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2010.07.001

Subject(s) - medicine , stenosis , cardiology , aortic valve replacement , percutaneous coronary intervention , complication , valve replacement , prosthesis , surgery , artery , bypass surgery , cardiac surgery , myocardial infarction

Iatrogenic coronary ostial stenosis after aortic valve replacement is a rare, life-threatening complication, which may follow implantation of either a mechanical or a biological prosthesis. Historically, this condition has been treated by urgent coronary bypass surgery but is associated with high morbidity and mortality, due to the hazards of early repeat sternotomy. We report a case of iatrogenic coronary ostial stenosis successfully treated with stenting and discuss the advantages of percutaneous intervention over coronary bypass surgery.

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