Distortion of the left anterior descending coronary artery after pulmonary valve replacement

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 electrocardiogr...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2016-07, Vol.88 (1), p.99-102
Main Authors: Séguéla, Pierre‐Emmanuel, Roubertie, François, Thambo, Jean‐Benoit
Format: Article
Language:English
Subjects:
Adult
congenital heart disease
Coronary Angiography - methods
coronary stent
Coronary Vessels - diagnostic imaging
Coronary Vessels - injuries
Coronary Vessels - physiopathology
Heart Injuries - diagnostic imaging
Heart Injuries - etiology
Heart Injuries - physiopathology
Heart Injuries - therapy
Heart Valve Prosthesis Implantation - adverse effects
Hemodynamics
Humans
Male
Percutaneous Coronary Intervention - instrumentation
post‐operative myocardial ischemia
Pulmonary Valve - diagnostic imaging
Pulmonary Valve - surgery
Pulmonary Valve Insufficiency - diagnostic imaging
Pulmonary Valve Insufficiency - surgery
Stents
Tomography, X-Ray Computed
Treatment Outcome
Ventricular Dysfunction, Left - etiology
Ventricular Dysfunction, Left - physiopathology
Ventricular Fibrillation - etiology
Ventricular Fibrillation - physiopathology
Ventricular Function, Left
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Summary: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.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.26270