Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment
A 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorc...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.4061/2009/213954 |
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| author | Manrico Balbi Flavio Scarano Gian Paolo Bezante |
| author_facet | Manrico Balbi Flavio Scarano Gian Paolo Bezante |
| author_sort | Manrico Balbi |
| collection | DOAJ |
| description | A 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorcin-formaldehyde glue was used to reinforce the aortic coronary buttons and to facilitate hemostasis. Five months after surgery, the patient experienced rapidly worsening effort angina. Coronary angiography showed severe left main narrowing. The considerable amount of time that elapsed between surgery and the onset of symptoms implies that the problem was not related to an imperfect suture technique, but was most likely caused by an inflammatory and proliferative response to the glue that had been used. We performed elective percutaneous coronary intervention and stenting of the protected coronary vessel without technical difficulties and with a satisfactory final result. The patient is currently symptom-free after 1 year's follow-up. |
| format | Article |
| id | doaj-art-a6804b0eccf843a999dca839c947a512 |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-a6804b0eccf843a999dca839c947a5122025-02-03T01:02:01ZengWileyCardiology Research and Practice2090-05972009-01-01200910.4061/2009/213954213954Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous TreatmentManrico Balbi0Flavio Scarano1Gian Paolo Bezante2Department of Cardionephrology and Department of Internal Medicine, University of Genova, Viale Benedetto XV/6–16132 Genova, ItalyDepartment of Cardionephrology and Department of Internal Medicine, University of Genova, Viale Benedetto XV/6–16132 Genova, ItalyDepartment of Cardionephrology and Department of Internal Medicine, University of Genova, Viale Benedetto XV/6–16132 Genova, ItalyA 65-year-old man suffering from ascending aorta aneurysm and atherosclerotic three vessel disease without left main involvement underwent aortic root replacement with coronary ostia reimplantation according to the modified Bentall technique and multiple coronary artery bypass grafts. Gelatin-resorcin-formaldehyde glue was used to reinforce the aortic coronary buttons and to facilitate hemostasis. Five months after surgery, the patient experienced rapidly worsening effort angina. Coronary angiography showed severe left main narrowing. The considerable amount of time that elapsed between surgery and the onset of symptoms implies that the problem was not related to an imperfect suture technique, but was most likely caused by an inflammatory and proliferative response to the glue that had been used. We performed elective percutaneous coronary intervention and stenting of the protected coronary vessel without technical difficulties and with a satisfactory final result. The patient is currently symptom-free after 1 year's follow-up.http://dx.doi.org/10.4061/2009/213954 |
| spellingShingle | Manrico Balbi Flavio Scarano Gian Paolo Bezante Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment Cardiology Research and Practice |
| title | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
| title_full | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
| title_fullStr | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
| title_full_unstemmed | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
| title_short | Left Main Coronary Stenosis as a Consequence of Bentall Operation: Percutaneous Treatment |
| title_sort | left main coronary stenosis as a consequence of bentall operation percutaneous treatment |
| url | http://dx.doi.org/10.4061/2009/213954 |
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