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Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement

Our report presents a 73-year-old female patient with severe aortic stenosis who was admitted to our department for a surgical aortic valve replacement. After an uneventful surgery, a worsening low cardiac output syndrome with signs of myocardial ischemia occurred. Immediate angiography revealed a d...

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Autores principales: Sadraddin, Haval, Krüger, Ulrich, Börgermann, Jochen, Gerçek, Mustafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720027/
https://www.ncbi.nlm.nih.gov/pubmed/34984165
http://dx.doi.org/10.1055/s-0041-1731275
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author Sadraddin, Haval
Krüger, Ulrich
Börgermann, Jochen
Gerçek, Mustafa
author_facet Sadraddin, Haval
Krüger, Ulrich
Börgermann, Jochen
Gerçek, Mustafa
author_sort Sadraddin, Haval
collection PubMed
description Our report presents a 73-year-old female patient with severe aortic stenosis who was admitted to our department for a surgical aortic valve replacement. After an uneventful surgery, a worsening low cardiac output syndrome with signs of myocardial ischemia occurred. Immediate angiography revealed a diffuse left coronary dissection starting from the ostium extending to the periphery of the left coronary system. The diffuse nature of the dissection ruled interventional management out and thus has been treated with urgent coronary bypass surgery. However, after an antecedent favorable course, the patient died 2 months later due to pneumonia resulting in septic shock.
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spelling pubmed-87200272022-01-03 Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement Sadraddin, Haval Krüger, Ulrich Börgermann, Jochen Gerçek, Mustafa Thorac Cardiovasc Surg Rep Our report presents a 73-year-old female patient with severe aortic stenosis who was admitted to our department for a surgical aortic valve replacement. After an uneventful surgery, a worsening low cardiac output syndrome with signs of myocardial ischemia occurred. Immediate angiography revealed a diffuse left coronary dissection starting from the ostium extending to the periphery of the left coronary system. The diffuse nature of the dissection ruled interventional management out and thus has been treated with urgent coronary bypass surgery. However, after an antecedent favorable course, the patient died 2 months later due to pneumonia resulting in septic shock. Georg Thieme Verlag KG 2021-12-31 /pmc/articles/PMC8720027/ /pubmed/34984165 http://dx.doi.org/10.1055/s-0041-1731275 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Sadraddin, Haval
Krüger, Ulrich
Börgermann, Jochen
Gerçek, Mustafa
Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement
title Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement
title_full Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement
title_fullStr Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement
title_full_unstemmed Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement
title_short Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement
title_sort dissection of the left coronary artery after surgical aortic valve replacement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720027/
https://www.ncbi.nlm.nih.gov/pubmed/34984165
http://dx.doi.org/10.1055/s-0041-1731275
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