Unusual complication of apicoaortic conduit: left main coronary artery thrombosis.
We report a case of left main coronary artery thrombosis 7 days after aortic valve replacement for native aortic valve regurgitation. The patient had undergone apicoaortic conduit implantation 3 years earlier. The thrombosis resulted from deviation of the cardiac output through the apicoaortic conduit and consequent turbulence of flow in the ascending aorta. Despite thrombus aspiration from the left main coronary artery, the patient never recovered and died 2 days later from multiple organ failure.
Sleilaty
Ghassan
G
Department of Cardiovascular Surgery, Foch Hospital, 40 rue Worth, 92151 Suresnes, France. gsleilaty@yahoo.com
de Lentdecker
Philippe
P
Thaler
Francois
F
Ceddaha
Antoine
A
Jebara
Victor
V
Lansac
Emmanuel
E
Debauchez
Matthieu
M
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D003328:Coronary Thrombosis / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans