Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement
We report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. We present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac valve surgery - the theories and treatments are di...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | International Journal of Preventive Medicine |
| Subjects: | |
| Online Access: | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2012;volume=3;issue=4;spage=295;epage=297;aulast=Umran |
| _version_ | 1818549757428105216 |
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| author | Sarwar Umran Govind Chetty Pradip K Sarkar |
| author_facet | Sarwar Umran Govind Chetty Pradip K Sarkar |
| author_sort | Sarwar Umran |
| collection | DOAJ |
| description | We report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. We present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac valve surgery - the theories and treatments are discussed. A 85 year-old female was admitted under the care of the cardiothoracic team with signs and symptoms of heart failure. Investigations, including cardiac echocardiography and coronary angiography, indicated a critical aortic valve stenosis. Intraoperative right ventricular failure ensued post aortic valve replacement. Subsequent investigations revealed an acute occlusion of the proximal right coronary artery with resultant absence of distal flow supplying the right ventricle. An immediate right coronary artery bypass procedure was performed with resolution of the right ventricular failure. Subsequent weaning off cardiopulmonary bypass was uneventful and the patient continued to make excellent recovery in the postoperative phase. To our knowledge this is one of the few documented cases of intraoperative acute coronary artery occlusion developing during valve surgery. However, surgeons should be aware of the potential for acute occlusion so that early recognition and rapid intervention can be instituted. |
| first_indexed | 2024-12-12T08:37:26Z |
| format | Article |
| id | doaj.art-03fd61df7af544aa892e1105e0026b5d |
| institution | Directory Open Access Journal |
| issn | 2008-7802 2008-8213 |
| language | English |
| last_indexed | 2024-12-12T08:37:26Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Preventive Medicine |
| spelling | doaj.art-03fd61df7af544aa892e1105e0026b5d2022-12-22T00:30:53ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132012-01-0134295297Acute Right Coronary Ostial Stenosis during Aortic Valve ReplacementSarwar UmranGovind ChettyPradip K SarkarWe report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. We present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac valve surgery - the theories and treatments are discussed. A 85 year-old female was admitted under the care of the cardiothoracic team with signs and symptoms of heart failure. Investigations, including cardiac echocardiography and coronary angiography, indicated a critical aortic valve stenosis. Intraoperative right ventricular failure ensued post aortic valve replacement. Subsequent investigations revealed an acute occlusion of the proximal right coronary artery with resultant absence of distal flow supplying the right ventricle. An immediate right coronary artery bypass procedure was performed with resolution of the right ventricular failure. Subsequent weaning off cardiopulmonary bypass was uneventful and the patient continued to make excellent recovery in the postoperative phase. To our knowledge this is one of the few documented cases of intraoperative acute coronary artery occlusion developing during valve surgery. However, surgeons should be aware of the potential for acute occlusion so that early recognition and rapid intervention can be instituted.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2012;volume=3;issue=4;spage=295;epage=297;aulast=UmranAortic valve surgerycardiac surgerycoronary artery stenosiscoronary artery |
| spellingShingle | Sarwar Umran Govind Chetty Pradip K Sarkar Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement International Journal of Preventive Medicine Aortic valve surgery cardiac surgery coronary artery stenosis coronary artery |
| title | Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement |
| title_full | Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement |
| title_fullStr | Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement |
| title_full_unstemmed | Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement |
| title_short | Acute Right Coronary Ostial Stenosis during Aortic Valve Replacement |
| title_sort | acute right coronary ostial stenosis during aortic valve replacement |
| topic | Aortic valve surgery cardiac surgery coronary artery stenosis coronary artery |
| url | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2012;volume=3;issue=4;spage=295;epage=297;aulast=Umran |
| work_keys_str_mv | AT sarwarumran acuterightcoronaryostialstenosisduringaorticvalvereplacement AT govindchetty acuterightcoronaryostialstenosisduringaorticvalvereplacement AT pradipksarkar acuterightcoronaryostialstenosisduringaorticvalvereplacement |