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

Buscaglia A, Tini G, Bezante GP, et al. 2018. Sudden death after valve-in-valve procedure due to delayed coronary obstruction: a case report. Journal of Medical Case Reports 12:247-252.

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

Issue

Section

Articles

Most read articles by the same author(s)

1 2 > >>