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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...

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Detalles Bibliográficos
Autores principales: Balbi, Manrico, Scarano, Flavio, Bezante, Gian Paolo
Formato: Texto
Lenguaje:English
Publicado: SAGE-Hindawi Access to Research 2009
Materias:
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.
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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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