Pannus-related left main trunk ostial stenosis after aortic valve replacement

被引：0
作者：
Taiyo Jinno
Yasuyuki Kato
Hidetaka Yamauchi
Yusuke Date
Kenichi Sasaki
Atsushi Shimizu
Hiroshi Kiyama
Toshiya Koyanagi
机构：
[1] Saitama Sekishinkai Hospital,Department of Cardiovascular Surgery
来源：
General Thoracic and Cardiovascular Surgery | 2021年 / 69卷
关键词：
Pannus; Bioprosthetic valve; Aortic valve replacement; Structural valvular deterioration; Acute myocardial infarction;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
A 34-year-old woman was hospitalized with shortness of breath and chest tightness and pain. She had undergone aortic valve replacement for aortic stenosis at the age of 18 years. Transthoracic echocardiography showed left ventricular asynergy and a high aortic valve pressure gradient. Thus, structural valve deterioration was diagnosed. Coronary computed tomography and coronary angiography revealed left main trunk ostial stenosis that had caused acute anteroseptal myocardial infarction. Urgent surgery revealed pannus formation around the prosthetic valve and covering the ostium of the left main trunk. A Bentall procedure and coronary artery bypass grafting were performed. The postoperative course was uneventful.
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页码：1511 / 1514
页数：3
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