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Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report
BACKGROUND: Both iatrogenic coronary artery stenosis early after aortic valve replacement and pseudonormalization of inverted T-waves in acute ischemia are rare but well-recognized findings which coincide in this case. CASE PRESENTATION: 10 weeks after aortic valve replacement, a 58-year-old male pa...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392638/ https://www.ncbi.nlm.nih.gov/pubmed/25887843 http://dx.doi.org/10.1186/s13019-015-0239-4 |
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author | Schwarz, Stefan Blessberger, Hermann Kammler, Jürgen Gross, Christoph Steinwender, Clemens |
author_facet | Schwarz, Stefan Blessberger, Hermann Kammler, Jürgen Gross, Christoph Steinwender, Clemens |
author_sort | Schwarz, Stefan |
collection | PubMed |
description | BACKGROUND: Both iatrogenic coronary artery stenosis early after aortic valve replacement and pseudonormalization of inverted T-waves in acute ischemia are rare but well-recognized findings which coincide in this case. CASE PRESENTATION: 10 weeks after aortic valve replacement, a 58-year-old male patient was readmitted with recent onset of unstable angina pectoris. Electrocardiography showed inverted T-waves in leads V2-4 with pseudonormalization during episodes of typical chest pain. Coronary angiography revealed subtotal ostial occlusion of the left anterior descending artery which was successfully treated by percutaneous coronary intervention. CONCLUSION: Iatrogenic coronary artery stenosis is a potentially life-threatening complication that can occur early after aortic valve replacement in patients with normal preoperative coronary angiography. T-wave-pseudonormalization during episodes of angina pectoris may lead to misinterpretation in patients at high risk. |
format | Online Article Text |
id | pubmed-4392638 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-43926382015-04-11 Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report Schwarz, Stefan Blessberger, Hermann Kammler, Jürgen Gross, Christoph Steinwender, Clemens J Cardiothorac Surg Case Report BACKGROUND: Both iatrogenic coronary artery stenosis early after aortic valve replacement and pseudonormalization of inverted T-waves in acute ischemia are rare but well-recognized findings which coincide in this case. CASE PRESENTATION: 10 weeks after aortic valve replacement, a 58-year-old male patient was readmitted with recent onset of unstable angina pectoris. Electrocardiography showed inverted T-waves in leads V2-4 with pseudonormalization during episodes of typical chest pain. Coronary angiography revealed subtotal ostial occlusion of the left anterior descending artery which was successfully treated by percutaneous coronary intervention. CONCLUSION: Iatrogenic coronary artery stenosis is a potentially life-threatening complication that can occur early after aortic valve replacement in patients with normal preoperative coronary angiography. T-wave-pseudonormalization during episodes of angina pectoris may lead to misinterpretation in patients at high risk. BioMed Central 2015-03-21 /pmc/articles/PMC4392638/ /pubmed/25887843 http://dx.doi.org/10.1186/s13019-015-0239-4 Text en © Schwarz et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Schwarz, Stefan Blessberger, Hermann Kammler, Jürgen Gross, Christoph Steinwender, Clemens Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report |
title | Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report |
title_full | Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report |
title_fullStr | Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report |
title_full_unstemmed | Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report |
title_short | Iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with T-wave-pseudonormalization - a case report |
title_sort | iatrogenic left anterior descending artery stenosis early after aortic valve replacement presenting with t-wave-pseudonormalization - a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392638/ https://www.ncbi.nlm.nih.gov/pubmed/25887843 http://dx.doi.org/10.1186/s13019-015-0239-4 |
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