[Coronary artery stenosis following aortic valve replacement--a case report].
A case with severe left main trunk (LMT) stenosis nine months after aortic valve replacement was presented. The patient, 57-year-old female, underwent aortic valve replacement with a tilting disk valve (Omnicarbon 21 A). Her postoperative course was uneventful, but angina pectoris developed after nine months. Coronary angiography was performed and revealed 99% LMT stenosis. Operation was performed with OTCA to LMT and with a saphenous vein graft to left anterior descending artery. Coronary artery stenosis following aortic valve replacement may be dangerous and it must be treated as soon as the diagnosis is established.
Fukushima
Y
Y
Yamaguchi
A
A
Miki
T
T
Otaki
M
M
Minoji
T
T
Tamura
H
H
Kitamura
N
N
D001021:Aortic Valve; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D003327:Coronary Disease / Q000209:etiology* / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged