Document Detail


Iatrogenic left main coronary artery stenosis following PTCA or valve replacement.
MedLine Citation:
PMID:  3156018     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report three patients who developed iatrogenic severe left main coronary artery stenosis. In two, it was secondary to coronary cannulation during aortic valve replacement and in one it followed distention of the artery during balloon dilatation of a proximal lesion in the left anterior descending artery. In all three, the stenosis was clinically manifest a few months after the intervention. All were successfully treated by aortosaphenous coronary bypass. A common mechanism for the three cases may be mechanical distention of the left main coronary artery resulting in intimal damage with secondary fibrosis and stenosis. The percutaneous transluminal coronary angioplasty-related stenosis is, to our knowledge, the first reported case of this nature, and represents a previously unrecognized complication of this procedure.
Authors:
T T Bashour; E S Hanna; J Edgett; J Geiger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  8     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1985 Feb 
Date Detail:
Created Date:  1985-04-09     Completed Date:  1985-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  114-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Angina Pectoris / therapy*
Angioplasty, Balloon*
Aortic Valve Insufficiency / surgery*
Aortic Valve Stenosis / surgery
Constriction, Pathologic / etiology
Coronary Angiography
Coronary Artery Bypass
Coronary Disease / etiology*,  therapy
Electrocardiography
Female
Heart Valve Prosthesis*
Humans
Male
Middle Aged
Mitral Valve Insufficiency / surgery*
Postoperative Complications / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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