Suture-induced right coronary artery stenosis.
An 82-year-old patient developed right heart failure in the days after surgical aortic valve replacement. Coronary CT angiography showed a high-grade stenosis of the mid-right coronary artery. Adjacent suture material seen on noncontrast CT suggested that the lesion was related to surgical closure of the right atrial cannulation site. Invasive angiography confirmed the stenosis, and percutaneous intervention was successfully performed.
Seltmann
Martin
M
Department of Cardiology, University of Erlangen-Nürnberg, Ulmenweg 18, 91054 Erlangen, Germany.
Achenbach
Stephan
S
Muschiol
Gerd
G
Feyrer
Richard
R
D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D015607:Stents; D013536:Suture Techniques / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome