Coronary artery compression by teflon pledget granuloma following aortic valve replacement.
We describe a massive fatal posterior myocardial infarct resulting from compression of the right coronary artery by a Teflon pledget granuloma in a patient who had undergone aortic valve replacement six months before death. Other iatrogenic causes of coronary artery occlusion or compression are discussed in this paper. To our knowledge this is the first report of this surgical complication.
Cohle
S D
SD
Blodgett Memorial Medical Center, Grand Rapids, MI, USA.
Delavan
J W
JW
D001021:Aortic Valve; D003327:Coronary Disease / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000473:pathology; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D011138:Polytetrafluoroethylene
D011138:Polytetrafluoroethylene