Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report

Coronary ostial stenosis is a rare but potentially life-threatening complication of aortic valve replacement (AVR). It can present potential complications such as acute coronary syndrome, left ventricular failure, ventricular arrhythmias, or sudden death. Exact pathogenetic mechanism is not known, b...

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Detalles Bibliográficos
Autores principales: Sharma, Munish, Mascarenhas, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127483/
https://www.ncbi.nlm.nih.gov/pubmed/27920592
http://dx.doi.org/10.4137/CCRep.S40851
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author Sharma, Munish
Mascarenhas, Daniel
author_facet Sharma, Munish
Mascarenhas, Daniel
author_sort Sharma, Munish
collection PubMed
description Coronary ostial stenosis is a rare but potentially life-threatening complication of aortic valve replacement (AVR). It can present potential complications such as acute coronary syndrome, left ventricular failure, ventricular arrhythmias, or sudden death. Exact pathogenetic mechanism is not known, but a few hypotheses have been proposed. We present a case of left main coronary stenosis 11 months after AVR was done for symptomatic critical aortic stenosis. High index of clinical suspicion and timely coronary angiography helped to determine the exact etiology. A percutaneous coronary intervention was done emergently. The patient has done very well so far.
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spelling pubmed-51274832016-12-05 Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report Sharma, Munish Mascarenhas, Daniel Clin Med Insights Case Rep Case Report Coronary ostial stenosis is a rare but potentially life-threatening complication of aortic valve replacement (AVR). It can present potential complications such as acute coronary syndrome, left ventricular failure, ventricular arrhythmias, or sudden death. Exact pathogenetic mechanism is not known, but a few hypotheses have been proposed. We present a case of left main coronary stenosis 11 months after AVR was done for symptomatic critical aortic stenosis. High index of clinical suspicion and timely coronary angiography helped to determine the exact etiology. A percutaneous coronary intervention was done emergently. The patient has done very well so far. Libertas Academica 2016-11-28 /pmc/articles/PMC5127483/ /pubmed/27920592 http://dx.doi.org/10.4137/CCRep.S40851 Text en © 2016 the author(s), publisher and licensee Libertas Academica Ltd. This is an open-access article distributed under the terms of the Creative Commons CC-BY-NC 3.0 License.
spellingShingle Case Report
Sharma, Munish
Mascarenhas, Daniel
Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
title Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
title_full Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
title_fullStr Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
title_full_unstemmed Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
title_short Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report
title_sort left main coronary ostial stenosis after aortic valve replacement: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127483/
https://www.ncbi.nlm.nih.gov/pubmed/27920592
http://dx.doi.org/10.4137/CCRep.S40851
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AT mascarenhasdaniel leftmaincoronaryostialstenosisafteraorticvalvereplacementacasereport

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