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Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment
A 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorc...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
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SAGE-Hindawi Access to Research
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2778136/ https://www.ncbi.nlm.nih.gov/pubmed/19946628 http://dx.doi.org/10.4061/2009/213954 |
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author | Balbi, Manrico Scarano, Flavio Bezante, Gian Paolo |
author_facet | Balbi, Manrico Scarano, Flavio Bezante, Gian Paolo |
author_sort | Balbi, Manrico |
collection | PubMed |
description | A 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorcin-formaldehyde glue was used to reinforce the aortic coronary buttons and to facilitate hemostasis. Five months after surgery, the patient experienced rapidly worsening effort angina. Coronary angiography showed severe left main narrowing. The considerable amount of time that elapsed between surgery and the onset of symptoms implies that the problem was not related to an imperfect suture technique, but was most likely caused by an inflammatory and proliferative response to the glue that had been used. We performed elective percutaneous coronary intervention and stenting of the protected coronary vessel without technical difficulties and with a satisfactory final result. The patient is currently symptom-free after 1 year's follow-up. |
format | Text |
id | pubmed-2778136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | SAGE-Hindawi Access to Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-27781362009-11-25 Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment Balbi, Manrico Scarano, Flavio Bezante, Gian Paolo Cardiol Res Pract Case Report A 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorcin-formaldehyde glue was used to reinforce the aortic coronary buttons and to facilitate hemostasis. Five months after surgery, the patient experienced rapidly worsening effort angina. Coronary angiography showed severe left main narrowing. The considerable amount of time that elapsed between surgery and the onset of symptoms implies that the problem was not related to an imperfect suture technique, but was most likely caused by an inflammatory and proliferative response to the glue that had been used. We performed elective percutaneous coronary intervention and stenting of the protected coronary vessel without technical difficulties and with a satisfactory final result. The patient is currently symptom-free after 1 year's follow-up. SAGE-Hindawi Access to Research 2009 2009-10-27 /pmc/articles/PMC2778136/ /pubmed/19946628 http://dx.doi.org/10.4061/2009/213954 Text en Copyright © 2009 Manrico Balbi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Balbi, Manrico Scarano, Flavio Bezante, Gian Paolo Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
title | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
title_full | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
title_fullStr | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
title_full_unstemmed | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
title_short | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
title_sort | left main coronary stenosis as a consequence of bentall operation: percutaneous treatment |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2778136/ https://www.ncbi.nlm.nih.gov/pubmed/19946628 http://dx.doi.org/10.4061/2009/213954 |
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