Post-operative myocardial infarction following aortic root surgery with coronary reimplantation: a case series treated with percutaneous coronary intervention

BACKGROUNDCoronary ostial stenosis is an uncommon but potentially lethal complication following aortic root replacement with or without aortic valve replacement (including Bentall and David procedures). This manifests clinically as acute myocardial ischaemia in the early or late post-operative perio...

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Bibliographic Details
Published in:European heart journal. Case reports 2019, Vol.3 (4), p.1-6
Main Authors: Adamson, Carly, Rocchiccioli, Paul, Brogan, Richard, Berry, Colin, d, Thomas J
Format: Report
Language:English
Online Access:Get full text
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Summary:BACKGROUNDCoronary ostial stenosis is an uncommon but potentially lethal complication following aortic root replacement with or without aortic valve replacement (including Bentall and David procedures). This manifests clinically as acute myocardial ischaemia in the early or late post-operative period. Traditionally, this might be managed with redo open-heart surgery. CASE SUMMARYThis case series describes two presentations where urgent percutaneous coronary intervention was used to manage myocardial infarction complicating aortic root surgery with coronary reimplantation. DISCUSSIONThis series highlights the risk of acute myocardial infarction after cardiac surgery involving coronary reimplantation. Emergency percutaneous coronary intervention is feasible and illustrates the importance of shared post-operative care involving the cardiac surgeons and the cardiology team.
ISSN:2514-2119
DOI:10.1093/ehjcr/ytz181