Document Detail


Left main coronary artery occlusion after percutaneous aortic valve implantation.
MedLine Citation:
PMID:  20172163     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Left main coronary artery occlusion occurred immediately after transfemoral aortic valve implantation in an 87-year-old woman, which resulted in ventricular fibrillation and hemodynamic collapse. This life-threatening complication was promptly diagnosed with transesophageal echocardiography, which showed the disappearance of diastolic left main coronary artery jet flow and was confirmed with aortic root angiography. After prompt defibrillation, hemodynamic support was obtained with intra-aortic balloon pump and inotropic drugs. Functional recovery and survival were achieved with coronary stenting. This report highlights the importance of an integrated team approach of highly skilled specialists for these novel interventions.
Authors:
Antonio L Bartorelli; Daniele Andreini; Erminio Sisillo; Gloria Tamborini; Melissa Fusari; Paolo Biglioli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  953-5     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Cardiovascular Sciences, Centro Cardiologico Monzino, IRCCS, University of Milan, Milan, Italy. antonio.bartorelli@ccfm.it
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Aortic Valve*
Aortic Valve Stenosis / therapy
Coronary Angiography
Coronary Occlusion / etiology*,  radiography,  therapy,  ultrasonography
Echocardiography, Transesophageal
Female
Heart Catheterization / adverse effects*
Heart Valve Prosthesis Implantation / adverse effects*
Humans
Intra-Aortic Balloon Pumping

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


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