Severe Left Main Coronary Stenosis Due to Aortic Bioprosthesis Implantation: A Case Report

Authors

  • Huimin Cui, PhD Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing, China
  • Shixiong Wei, MD Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing, China
  • Lin Zhang, PhD Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing, China
  • Shengli Jiang, PhD Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing, China

DOI:

https://doi.org/10.1532/hsf.3147

Keywords:

Aortic bioprosthesis, Left main coronary stenosis, Percutaneous coronary intervention

Abstract

Coronary artery ostial stenosis is a common but life-threatening complication that usually presents right after valve implantation, especially in transcatheter aortic valve implantation (TAVI) procedure. However, as reported in our case, it may also have a late delayed presentation in valve replacement through median sternotomy. Here, we present a rare case of one patient who underwent percutaneous coronary intervention (PCI) for severe stenosis of the left main (LM) coronary artery six months after Mosaic aortic bioprosthesis implantation.

References

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Dvir D, Webb J, Brecker S, et al. 2012. Transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: results from the global valve-in-valve registry. Circulation. 126:2335-44.

Funada A, Mizuno S, Ohsato K, et al. 2006. Three Cases of Iatrogenic Coronary Ostial Stenosis After Aortic Valve Replacement. Circ J 70:1312-1317.

Hirota M, Isomura T, Yoshida M, et al. 2016. Subvalvular Pannus Overgrowth after Mosaic Bioprosthesis Implantation in the Aortic Position. Ann Thorac Cardiovasc Surg 22:108-111.

Tatsuishi W, Nakano K, Kubota S, et al. 2015. Identification of Coronary Artery Orifice to Prevent Coronary Complications in Bioprosthetic and Transcatheter Aortic Valve Replacement. Circulation Journal 79:2157-61.

Tukiji M, Akasaka T, Wada N, et al. 2004. Bilateral coronary ostial stenosis after aortic valve replacement with Freestyle stentless bioprosthesis: A case report. J Cardiol 44: 207-213.

Published

2020-10-08

How to Cite

Cui, H., Wei, S., Zhang, L., & Jiang, S. (2020). Severe Left Main Coronary Stenosis Due to Aortic Bioprosthesis Implantation: A Case Report. The Heart Surgery Forum, 23(6), E7315-E732. https://doi.org/10.1532/hsf.3147

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Article