Complex interventional procedures for the management of early postoperative left main coronary artery embolism after bioprosthetic aortic valve insertion.
The incidence of calcified debris coronary embolism after aortic valve replacement (AVR) with a bioprosthesis is a rare but potentially life-threatening condition. We sought to describe a case of immediate postoperative left main coronary artery embolism, resulting to severe acute coronary syndrome and cardiogenic shock, after aortic valve surgery due to severe aortic valve stenosis, with the use of bioprosthesis. Complex interventional procedures and possible diagnostic challenges are being described.
Abteilung für Interventionelle Kardiologie, Herz Zentrum, Bad Krozingen, Germany. gerasimos.gavrielatos@herzzentrum.de
Gerasimos
G
Gavrielatos
Heinz J
HJ
Buttner
Con
C
Lehane
Franz J
FJ
Neumann
D054058:Acute Coronary Syndrome / Q000209:etiology / Q000628:therapy; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001705:Bioprosthesis; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy; D015607:Stents; D016896:Treatment Outcome