title: Distortion of the left anterior descending coronary artery after pulmonary valve replacement.
abstract: Injury of the left main coronary artery may sometimes complicate a pulmonary valve replacement (PVR). We present the case of a 39-year-old man, with post-operative distortion of the left anterior descending coronary artery, which caused onset of ventricular arrhythmia associated with electrocardiographic signs of myocardial ischemia. A coronary angiogram revealed the cause of the lesion. Stenting the coronary artery restored normal coronary blood flow and improved the patient's condition. Through this case, we describe a new life-threatening complication after PVR. © 2015 Wiley Periodicals, Inc.
authors.affiliation: Congenital and Pediatric Cardiology Unit, Hôpital Haut Lévèque, Avenue de Magellan, 33604 PESSAC, Cedex, France.
authors.forename: Pierre-Emmanuel
authors.initials: PE
authors.lastname: Séguéla
authors.affiliation: Cardiovascular Surgery Unit, Hôpital Haut Lévèque, Avenue de Magellan, 33604 PESSAC, Cedex, France.
authors.forename: François
authors.initials: F
authors.lastname: Roubertie
authors.affiliation: Congenital and Pediatric Cardiology Unit, Hôpital Haut Lévèque, Avenue de Magellan, 33604 PESSAC, Cedex, France.
authors.forename: Jean-Benoit
authors.initials: JB
authors.lastname: Thambo
mesh_terms: D000328:Adult; D017023:Coronary Angiography / Q000379:methods; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000503:physiopathology; D014693:Ventricular Fibrillation / Q000209:etiology / Q000503:physiopathology; D016277:Ventricular Function, Left
keywords: congenital heart disease; coronary stent; post-operative myocardial ischemia