Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case Report

Coronary ostium obstruction due to dislodgement of the prosthetic valve is a rare and life-threatening complication, and particular caution is required for sutureless aortic valve replacement (AVR) with concomitant valvular surgery. In general, coronary artery bypass surgery is performed when cor...

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Main Authors: Seungmo Yoo, Hong Rae Kim, Jae Suk Yoo
Format: Article
Language:English
Published: Korean Society for Thoracic & Cardiovascular Surgery 2023-09-01
Series:Journal of Chest Surgery
Subjects:
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author Seungmo Yoo
Hong Rae Kim
Jae Suk Yoo
author_facet Seungmo Yoo
Hong Rae Kim
Jae Suk Yoo
author_sort Seungmo Yoo
collection DOAJ
description Coronary ostium obstruction due to dislodgement of the prosthetic valve is a rare and life-threatening complication, and particular caution is required for sutureless aortic valve replacement (AVR) with concomitant valvular surgery. In general, coronary artery bypass surgery is performed when coronary ostium obstruction occurs after AVR, but other options may need to be considered in some cases. Herein, we present a case of coronary artery occlusion in an 82-year-old female patient who had undergone AVR and mitral valve replacement for aortic valve stenosis and mitral valve stenosis at the age of 77 years. A hybrid procedure involving redo AVR and percutaneous coronary intervention after left main coronary ostium endarterectomy was performed. To summarize, we present a case of hybrid AVR in a patient with coronary artery obstruction after AVR that was successfully managed using this method.
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spelling doaj.art-fb9792d5533541d0883d0f2be51bbd0e2023-09-05T07:21:58ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142023-09-0156535936110.5090/jcs.22.146Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case ReportSeungmo Yoo0https://orcid.org/0000-0001-8988-679XHong Rae Kim1https://orcid.org/0000-0002-3305-6065Jae Suk Yoo2https://orcid.org/0000-0002-7008-054XUniversity of Ulsan College of MedicineUniversity of Ulsan College of MedicineUniversity of Ulsan College of MedicineCoronary ostium obstruction due to dislodgement of the prosthetic valve is a rare and life-threatening complication, and particular caution is required for sutureless aortic valve replacement (AVR) with concomitant valvular surgery. In general, coronary artery bypass surgery is performed when coronary ostium obstruction occurs after AVR, but other options may need to be considered in some cases. Herein, we present a case of coronary artery occlusion in an 82-year-old female patient who had undergone AVR and mitral valve replacement for aortic valve stenosis and mitral valve stenosis at the age of 77 years. A hybrid procedure involving redo AVR and percutaneous coronary intervention after left main coronary ostium endarterectomy was performed. To summarize, we present a case of hybrid AVR in a patient with coronary artery obstruction after AVR that was successfully managed using this method.sutureless aortic valve replacementcoronary obstructionprosthetic valve deteriorationcase report
spellingShingle Seungmo Yoo
Hong Rae Kim
Jae Suk Yoo
Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case Report
Journal of Chest Surgery
sutureless aortic valve replacement
coronary obstruction
prosthetic valve deterioration
case report
title Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case Report
title_full Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case Report
title_fullStr Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case Report
title_full_unstemmed Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case Report
title_short Left Coronary Ostial Obstruction by a Dislocated Sutureless Aortic Valve Prosthesis: Redo Aortic Valve Replacement with Hybrid Coronary Revascularization: A Case Report
title_sort left coronary ostial obstruction by a dislocated sutureless aortic valve prosthesis redo aortic valve replacement with hybrid coronary revascularization a case report
topic sutureless aortic valve replacement
coronary obstruction
prosthetic valve deterioration
case report
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AT hongraekim leftcoronaryostialobstructionbyadislocatedsuturelessaorticvalveprosthesisredoaorticvalvereplacementwithhybridcoronaryrevascularizationacasereport
AT jaesukyoo leftcoronaryostialobstructionbyadislocatedsuturelessaorticvalveprosthesisredoaorticvalvereplacementwithhybridcoronaryrevascularizationacasereport