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Ann Thorac Surg 1995;60:1123-1126
© 1995 The Society of Thoracic Surgeons

Articles

Dacron coronary graft obstruction after composite graft replacement of aortic root

MD Satoshi Sekine*, MD Tadaaki Abe, MD Keiji Seki, MD Yoshiki Shibata, MD Itsuro Yamagishi, MD Makoto Kamada

Department of Cardiovascular Surgery, Akita University School of Medicine, Akita, Japan

Accepted for publication April 24, 1995.

* Address reprint requests to Dr Sekine, Akita University School of Medicine, 1-1-1 Hondo, Akita 010, Japan.

Obstruction of the left coronary ostial anastomosis is a rare late complication after composite graft replacement of the ascending aorta and the aortic valve with separate Dacron coronary grafts. Intimal proliferation caused by the turbulent blood flow at this site may be the cause of the obstruction, which is considered a possible cause of late cardiac events such as sudden death and global myocardial infarction. We describe a case of tight stenosis at the left coronary ostial anastomosis in a 38-year-old woman with Marfan's syndrome who had undergone a composite graft replacement that employed separate Dacron coronary grafts.




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