Document Detail


Left main coronary stenosis as a consequence of bentall operation: percutaneous treatment.
MedLine Citation:
PMID:  19946628     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorcin-formaldehyde glue was used to reinforce the aortic coronary buttons and to facilitate hemostasis. Five months after surgery, the patient experienced rapidly worsening effort angina. Coronary angiography showed severe left main narrowing. The considerable amount of time that elapsed between surgery and the onset of symptoms implies that the problem was not related to an imperfect suture technique, but was most likely caused by an inflammatory and proliferative response to the glue that had been used. We performed elective percutaneous coronary intervention and stenting of the protected coronary vessel without technical difficulties and with a satisfactory final result. The patient is currently symptom-free after 1 year's follow-up.
Authors:
Manrico Balbi; Flavio Scarano; Gian Paolo Bezante
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Publication Detail:
Type:  Journal Article     Date:  2009-10-27
Journal Detail:
Title:  Cardiology research and practice     Volume:  2009     ISSN:  2090-0597     ISO Abbreviation:  Cardiol Res Pract     Publication Date:  2009  
Date Detail:
Created Date:  2009-11-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101516542     Medline TA:  Cardiol Res Pract     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  213954     Citation Subset:  -    
Affiliation:
Department of Cardionephrology and Department of Internal Medicine, University of Genova, Viale Benedetto XV/6-16132 Genova, Italy.
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