Document Detail

A case of myocardial infarction effectively treated by emergency coronary stenting soon after a Bentall-De Bono aortic surgery.
MedLine Citation:
PMID:  20934663     Owner:  NLM     Status:  MEDLINE    
Postoperative ischemia may complicate cardiac surgery, despite myocardial protection and recent technical developments. Its medical management in the intensive cardiac care unit is usually efficient, although sometimes it requires the revision of the surgical site. In other cases, urgent coronary angiography and subsequent coronary stenting may resolve the situation. Ostial stenosis of coronary anastomoses is a well-known uncommon but dramatic complication after aortic surgery causing myocardial ischemia. Cases of effort angina have been described several months after surgery, but in some cases, acute myocardial infarction may occur days or weeks after intervention. We here describe an anteroseptal ST-elevation myocardial infarction soon after a Bentall aortic root replacement due to compression of the left main ostium by surgical glue, which has been effectively treated by emergency coronary stenting. This case highlights the importance of a joint management of acute myocardial ischemia after cardiac surgery by the cardiac surgeon and the interventional cardiologist.
Marcello Marino; Carlo Cellini; Vasileios Tsiopoulos; Natalia Pavone; Natalia Pavoni; Roberto Zamparelli; Michele Corrado; Nicola Cosentino; Antonella Lombardo; Flavia Belloni; Giampaolo Niccoli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular revascularization medicine : including molecular interventions     Volume:  11     ISSN:  1878-0938     ISO Abbreviation:  Cardiovasc Revasc Med     Publication Date:    2010 Oct-Dec
Date Detail:
Created Date:  2010-10-11     Completed Date:  2011-02-10     Revised Date:  2011-03-04    
Medline Journal Info:
Nlm Unique ID:  101238551     Medline TA:  Cardiovasc Revasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  263.e5-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Department of Cardiovascular Medicine, Institute of Cardiology, Catholic University, Rome, Italy.
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MeSH Terms
Angioplasty, Balloon, Coronary / instrumentation*
Aortic Aneurysm / complications,  surgery*
Aortic Valve Insufficiency / complications,  surgery*
Blood Vessel Prosthesis Implantation / adverse effects*
Coronary Angiography
Coronary Stenosis / diagnosis,  etiology,  therapy*
Heart Valve Prosthesis Implantation / adverse effects*
Myocardial Infarction / diagnosis,  etiology,  therapy*
Tissue Adhesives / adverse effects*
Treatment Outcome
Reg. No./Substance:
0/Tissue Adhesives
Erratum In:
Cardiovasc Revasc Med. 2011 Jan-Feb;12(1):71
Note: Pavoni, Natalia [corrected to Pavone, Natalia]

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