Managing low profile - left main transmural laceration.
Perforation of the left main stem is a rare complication associated with combined aortic valve replacement and by-pass surgery. One-year following aortic valve replacement a 70-year-old male presented with chest pain. This was related to a slowly expanding haematoma caused by a low profile chronic perforation of the left main. Subsequently, a tailored percutaneous modification of the main stem was performed. At three months follow-up, he had no complaints and selective coronary angiography confirmed the successful sealing of the perforation with a concomitant regression of the prior haematoma.
Anthonio
Rutger L
RL
Department of Cardiology, University Medical Centre Groningen Thorax Centre, The Netherlands. r.l.anthonio@thorax.azg.nl
Jessurun
Gillian A J
GA
Erasmus
Michiel E
ME
Zijlstra
Felix
F
D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000628:therapy; D001705:Bioprosthesis; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D003331:Coronary Vessels / Q000473:pathology*; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D006801:Humans; D022125:Lacerations / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D008991:Monitoring, Physiologic; D009131:Muscle, Smooth, Vascular / Q000293:injuries; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents