Intraoperative right coronary artery obstruction due to aortic root prosthesis mismatch after aortic valve replacement—A case report

2019 ◽  
Vol 34 (11) ◽  
pp. 1396-1398
Author(s):  
Ashish M. Agrawal ◽  
Divya Arora ◽  
Aparesh Sanyal ◽  
Shamsher Singh Lohchab
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Right Coronary Artery ◽  
Aortic Root ◽  
Artery Obstruction

scholarly journals Mobilization of an anomalous retro aortic coronary artery to prevent myocardial ischemia after aortic valve replacement

2021 ◽  
Author(s):  
José Máximo ◽  
Paulo Pinho ◽  
Jorge Casanova
Keyword(s):  
At Risk ◽  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Myocardial Ischemia ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Valvular Surgery

During valvular surgery, abnormal coronary distribution, especially if unidentified by preoperative exams, may put coronary arteries at risk of damage. In this case report, we describe the approach to an anomalous right coronary artery during aortic valve replacement.

scholarly journals Clinical case: aortic valve replacement with aortic root reconstruction and coronary artery bypass grafting in 73-yo obese female patient

2018 ◽  
Vol 9 (1) ◽  
pp. 71-75
Author(s):  
D. V. Borisov ◽  
A. S. Zotov ◽  
S. A. Vachev ◽  
A. V. Troitskiy ◽  
R. I. Khabazov
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Female Patient ◽  
Valve Replacement ◽  
Aortic Root ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Obese Female

Aortic valve replacement is the second most common cardiac surgery procedure. Prosthesis-patient size mismatch can increase the incidence of adverse events postoperatively, it also leads to increased left ventricular load. Some studies describe the higher mortality in this group of patients. It is also proved that patients with severe aortic stenosis usually have impaired platelet aggregation and low von Willebrand factor causing bleeding disorders. We report a case of successful aortic valve replacement and aortic root enlargement (Nicks technique) combined with coronary artery bypass grafting (left internal mammary artery to the left anterior descending artery) and left atrial appendage resection in 73-y.o. obese female patient. Postoperative course was uneventful.

scholarly journals Case Report: Post transcatheter aortic valve replacement shock: Value of multimodal imaging

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 2032 ◽  
Author(s):  
Sujatha P. Bhandary ◽  
Andrew J. Otey ◽  
Thomas J. Papadimos ◽  
Juan A. Crestanello ◽  
Barry S. George ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Multimodal Imaging ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Transcatheter Aortic Valve

Complications resulting from the delayed clinical presentation of a left main coronary artery obstruction can be catastrophic. This case report presents a 73-year-old woman with severe aortic stenosis who underwent transcatheter aortic valve replacement with a core valve who, approximately 20 minutes after heparin reversal with protamine, became hypotensive and was unresponsive to vasopressor and inotropic therapy. Transesophageal echocardiography demonstrated global hypokinesis, which was highly consistent with the occlusion of the left main coronary artery. Angiography confirmed this diagnosis and demonstrated that valve positioning had not changed compared to post-placement examination. Here we report the partial covering of the ostium of the left main coronary artery by a core valve skirt that converted into a total occlusion following the initiation of heparin reversal with protamine and the value of multimodal imaging in the management of this case.

Chylopericardium following aortic valve replacement and coronary artery bypass surgery: a case report and discussion

1994 ◽  
Vol 3 (4) ◽  
pp. 313-315
Author(s):  
M Schactman ◽  
C Scott ◽  
DR Glibbery-Fiesel ◽  
M Murello ◽  
P Kerr
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Coronary Artery Bypass ◽  
Valve Replacement ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass

The incidence of chylopericardium after cardiac surgery is unusual, but there are documented cases. Those caring for these patients need to be aware of the symptoms and management of chylopericardium because, if left untreated, it may cause catastrophic consequences.

scholarly journals Left main coronary artery bifurcation angioplasty and stenting after aortic valve replacement: a case report

2012 ◽  
Vol 64 (1) ◽  
pp. 80-83
Author(s):  
Sanjeeb Roy ◽  
Ajeet Bana ◽  
Rajeev Gupta ◽  
Rakesh Chittora ◽  
Sameer Sharma ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Angioplasty And Stenting

scholarly journals Rupture of equine pericardial aortic-root patch after aortic valve replacement with aortic annulus enlargement: a case report

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Akimasa Morisaki ◽  
Yasuyuki Kato ◽  
Manabu Motoki ◽  
Yosuke Takahashi ◽  
Shinsuke Nishimura ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Aortic Annulus
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