title: Iatrogenic left main coronary artery stenosis following aortic and mitral valve replacement.
abstract: Iatrogenic coronary artery disease following prosthetic valve implantation is a rare complication. This may result from mechanical injury in the intraoperative period. The use of balloon tip perfusion catheter presumably provides the initial insult with local vessel wall hypoxia. Once the diagnosis of coronary ostial stenosis is established, the procedure of choice is coronary artery bypass surgery. We report a case of a young lady who underwent aortic and mitral valves replacement for infective endocarditis. She was then diagnosed with ostial left main stem coronary stenosis after presenting with atypical symptoms. The patient eventually underwent coronary artery bypass surgery.
authors.affiliation: Department of Cardiology, Dar Alshifa Hospital, Hawally, Kuwait.
authors.forename: Jadan
authors.initials: J
authors.lastname: Alsaddah
authors.affiliation: Department of Cardiology, Dar Alshifa Hospital, Hawally, Kuwait.
authors.forename: Saad
authors.initials: S
authors.lastname: Alkandari
authors.affiliation: Department of Cardiology, Alseef Hospital, Al-Salmiya, Kuwait.
authors.forename: Hany
authors.initials: H
authors.lastname: Younan
keywords: Iatrogenic; left main stenosis; valve replacement
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