Delayed Coronary Ostial Stenosis after Surgical Aortic Valve Replacement and Root Enlargement Treated with Beating Heart On-Pump CABG  

作　　者：Majed Tolah Marwan Sadek Muhammed Tamim Yasser Elkady Majed Tolah;Marwan Sadek;Muhammed Tamim;Yasser Elkady(Cardiac Surgery Department, Cardiac Center, King Fahad Medical Military Complex, Dhahran, Saudi Arabia;Cardiac Surgery Department, Madinah Cardiac Center, Madinah, Saudi Arabia)

机构地区：[1]Cardiac Surgery Department, Cardiac Center, King Fahad Medical Military Complex, Dhahran, Saudi Arabia [2]Cardiac Surgery Department, Madinah Cardiac Center, Madinah, Saudi Arabia

出　　处：《World Journal of Cardiovascular Diseases》2023年第10期657-663,共7页心血管病（英文）

摘　　要：Coronary ostial stenosis after surgical aortic valve replacement (SAVR) is a rare but potentially fatal complication. Surgeons must have a high level of vigilance regarding the presentation of acute myocardial ischemia, arrhythmia, and heart failure after AVR. According to most reports, this event can be time-dependent divided into two groups;early acute phase that mostly happens intraoperative during weaning of CPB or in early ICU stay, and late presentation usually appears 1 - 6 months post surgery. Here, we describe an unusual subacute presentation of right coronary ostial stenosis 12 days after SAVR, which was treated successfully with redo beating heart coronary artery bypass grafting (CABG).Coronary ostial stenosis after surgical aortic valve replacement (SAVR) is a rare but potentially fatal complication. Surgeons must have a high level of vigilance regarding the presentation of acute myocardial ischemia, arrhythmia, and heart failure after AVR. According to most reports, this event can be time-dependent divided into two groups;early acute phase that mostly happens intraoperative during weaning of CPB or in early ICU stay, and late presentation usually appears 1 - 6 months post surgery. Here, we describe an unusual subacute presentation of right coronary ostial stenosis 12 days after SAVR, which was treated successfully with redo beating heart coronary artery bypass grafting (CABG).

关 键 词：Non-ST Elevation Myocardial Infarction Iatrogenic Complication Coronary Artery Disease Surgical Aortic Valve Replacement 

分 类 号：R54[医药卫生—心血管疾病]