Ostial stenosis of coronary arteries after complete replacement of aortic root using gelatin-resorcinol-formaldehyde glue.
Coronary ostial stenosis between an interposition graft and coronary artery is rare and fatal. A 46-year-old woman who had reconstruction of both coronary arteries using interposition grafts for type A acute dissecting aneurysm presented with acute chest pain. Emergent coronary artery bypass grafting was done with saphenous vein grafts. Inappropriate use of gelatin-resorcinol-formaldehyde glue can be associated with ostial stenosis in the long term. Transesophageal echocardiography is useful to diagnose ostial stenosis of the coronary arteries.
Tsukui
H
H
Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University. htsukui@jasmine.ocn.ne.jp
Aomi
S
S
Nishida
H
H
Endo
M
M
Koyanagi
H
H
D001021:Aortic Valve / Q000601:surgery*; D023921:Coronary Stenosis / Q000209:etiology*; D004338:Drug Combinations; D005260:Female; D005557:Formaldehyde / Q000009:adverse effects*; D005780:Gelatin / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012118:Resorcinols / Q000009:adverse effects*; D014014:Tissue Adhesives / Q000009:adverse effects*
D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin