Top

Published in:

Open Access 01-12-2011 | Case Report

Coronary ostia obstruction after replacement of aortic valve prostesis

Authors: Emanuela Turillazzi, Gabriele Di Giammarco, Margherita Neri, Stefania Bello, Irene Riezzo, Vittorio Fineschi

Published in: Diagnostic Pathology | Issue 1/2011

Abstract

Aortic valve replacement (AVR) is the gold standard for the treatment of severe symptomatic aortic stenosis. Complications directly related to surgical procedure are relatively infrequent. Coronary ostial stenosis is, generally, referred as late complication. Anecdotal reports concern coronary ostial stenosis as acute complication. A unique fatal case of intraoperative, bilateral coronary ostial obstruction by prosthetic valve leading to an extensive myocardial infarction is reported. Surgeons must have a high level of vigilance regarding the occurrence of acute myocardial ischemia and sudden death soon after AVR.

Virtual Slides

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/4383994185667026.

Available only for authorised users

Yates JD, Kirsh MM, Sodeman TM, Walton JA, Brymer JF: Coronary ostial stenosis: a complication of aortic valve replacement. Circulation. 1974, 49: 530-534.CrossRefPubMed

Pillai JB, Pillay TM, Ahmad J: Coronary ostial stenosis after aortic valve replacement, revisited. Ann Thorac Surg. 2004, 78: 2169-2171. 10.1016/S0003-4975(03)01536-4.CrossRefPubMed

Santini F, Pentiricci S, Messina A, Mazzucco A: Coronary ostial enlargement to prevent stenosis after prosthetic aortic valve replacement. Ann Thorac Surg. 2004, 77: 1854-1856. 10.1016/S0003-4975(03)01450-4.CrossRefPubMed

Thomopoulou S, Sfirakis P, Spargias K: Angioplasty, stenting and thrombectomy to correct left main coronary stem obstruction by a bioprosthetic aortic valve. J Invasive Cardiol. 2008, 20: E124-E125.PubMed

Ziakas AG, Economou FI, Charokopos NA, Pitsis AA, Parharidou DG, Papadopoulos TI, Parharidis GE: Coronary ostial stenosis after aortic valve replacement: successful treatment of 2 patients with drug-eluting stents. Texas Heart Inst J. 2010, 37: 465-468.

Pragliola C, Altamura L, Niccoli G, Siviglia M, De Paulis S, Possati GF: Postoperative coronary artery spasm complicating aortic valve replacement: implications for identification and treatment. Ann Thorac Surg. 2007, 83: 670-672. 10.1016/j.athoracsur.2006.06.026.CrossRefPubMed

Sethi GK, Scott SM, Takaro T: Iatrogenic coronary artery stenosis following aortic valve replacement. J Thorac Cardiovasc Surg. 1979, 77: 760-767.PubMed

Marino M, Cellini C, Tsiopoulos V, Pavone N, Zamparelli R, Corrado M, Cosentino N, Lombardo A, Belloni F, Niccoli G: A case of myocardial infarction effectively treated by emergency coronary stenting soon after a Bentall-De Bono aortic surgery. Cardiovasc Revasc Med. 2010, 11: 263.e5-9. 10.1016/j.carrev.2009.07.003.CrossRef

Title: Coronary ostia obstruction after replacement of aortic valve prostesis
Authors: Emanuela Turillazzi
Gabriele Di Giammarco
Margherita Neri
Stefania Bello
Irene Riezzo
Vittorio Fineschi
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Diagnostic Pathology / Issue 1/2011
Electronic ISSN: 1746-1596
DOI: https://doi.org/10.1186/1746-1596-6-72

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Coronary ostia obstruction after replacement of aortic valve prostesis

Abstract

Virtual Slides

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Virtual Slides

Please log in to get access to this content

Other articles of this Issue 1/2011

Follicular bronchiolitis and lymphocytic interstitial pneumonia in a Japanese man

Computerized texture analysis of atypical immature myeloid precursors in patients with myelodysplastic syndromes: an entity between blasts and promyelocytes

Molecular analysis of iduronate -2- sulfatase gene in Tunisian patients with mucopolysaccharidosis type II

Histomorphometric and immunohistochemical analysis of infectious agents, T-cell subpopulations and inflammatory adhesion molecules in placentas from HIV-seropositive pregnant women

Fluorescence microscope (Cyscope®) for malaria diagnosis in pregnant women in Medani Hospital, Sudan

Dysgerminoma in a case of 46, XY pure gonadal dysgenesis (swyer syndrome): a case report