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Alsaddah J, Alkandari S, Younan H. Iatrogenic left main coronary artery stenosis following aortic and mitral valve replacement. Heart Views. 2015;16(1):37-9doi: 10.4103/1995-705X.153001.
Alsaddah, J., Alkandari, S., & Younan, H. (2015). Iatrogenic left main coronary artery stenosis following aortic and mitral valve replacement. Heart views : the official journal of the Gulf Heart Association, 16(1), 37-9. https://doi.org/10.4103/1995-705X.153001
Alsaddah, Jadan, et al. "Iatrogenic left main coronary artery stenosis following aortic and mitral valve replacement." Heart views : the official journal of the Gulf Heart Association vol. 16,1 (2015): 37-9. doi: https://doi.org/10.4103/1995-705X.153001
Alsaddah J, Alkandari S, Younan H. Iatrogenic left main coronary artery stenosis following aortic and mitral valve replacement. Heart Views. 2015 Jan-Mar;16(1):37-9. doi: 10.4103/1995-705X.153001. PMID: 25838879; PMCID: PMC4379642.
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Heart Views. 2015 Jan-Mar;16(1):37-9. doi: 10.4103/1995-705X.153001.

Iatrogenic left main coronary artery stenosis following aortic and mitral valve replacement.

Heart views : the official journal of the Gulf Heart Association

Jadan Alsaddah, Saad Alkandari, Hany Younan

Affiliations

  1. Department of Cardiology, Dar Alshifa Hospital, Hawally, Kuwait.
  2. Department of Cardiology, Alseef Hospital, Al-Salmiya, Kuwait.

PMID: 25838879 PMCID: PMC4379642 DOI: 10.4103/1995-705X.153001

Abstract

Iatrogenic coronary artery disease following prosthetic valve implantation is a rare complication. This may result from mechanical injury in the intraoperative period. The use of balloon tip perfusion catheter presumably provides the initial insult with local vessel wall hypoxia. Once the diagnosis of coronary ostial stenosis is established, the procedure of choice is coronary artery bypass surgery. We report a case of a young lady who underwent aortic and mitral valves replacement for infective endocarditis. She was then diagnosed with ostial left main stem coronary stenosis after presenting with atypical symptoms. The patient eventually underwent coronary artery bypass surgery.

Keywords: Iatrogenic; left main stenosis; valve replacement

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