A case of myocardial infarction effectively treated by emergency coronary stenting soon after a Bentall-De Bono aortic surgery.
Cardiovasc Revasc Med
; 11(4): 263.e5-9, 2010.
Article
em En
| MEDLINE
| ID: mdl-20934663
ABSTRACT
Postoperative ischemia may complicate cardiac surgery, despite myocardial protection and recent technical developments. Its medical management in the intensive cardiac care unit is usually efficient, although sometimes it requires the revision of the surgical site. In other cases, urgent coronary angiography and subsequent coronary stenting may resolve the situation. Ostial stenosis of coronary anastomoses is a well-known uncommon but dramatic complication after aortic surgery causing myocardial ischemia. Cases of effort angina have been described several months after surgery, but in some cases, acute myocardial infarction may occur days or weeks after intervention. We here describe an anteroseptal ST-elevation myocardial infarction soon after a Bentall aortic root replacement due to compression of the left main ostium by surgical glue, which has been effectively treated by emergency coronary stenting. This case highlights the importance of a joint management of acute myocardial ischemia after cardiac surgery by the cardiac surgeon and the interventional cardiologist.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Aórtico
/
Insuficiência da Valva Aórtica
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Adesivos Teciduais
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Angioplastia Coronária com Balão
/
Stents
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Implante de Prótese de Valva Cardíaca
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Implante de Prótese Vascular
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Estenose Coronária
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Infarto do Miocárdio
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article