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Ann Thorac Surg 2001;72:1733-1735
© 2001 The Society of Thoracic Surgeons

Case report

Ostial stenosis of coronary arteries after complete replacement of aortic root using gelatin-resorcinol-formaldehyde glue

Hiroyuki Tsukui, MD*a, Shigeyuki Aomi, MDa, Hiroshi Nishida, MDa, Masahiro Endo, MDa, Hitoshi Koyanagi, MDa

a Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan

Accepted for publication November 20, 2000.

* Address reprint requests to Dr Tsukui, Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, 8-1 Kawada, Shinjuku, Tokyo 162-8666, Japan
e-mail: htsukui{at}jasmine.ocn.ne.jp

Coronary ostial stenosis between an interposition graft and coronary artery is rare and fatal. A 46-year-old woman who had reconstruction of both coronary arteries using interposition grafts for type A acute dissecting aneurysm presented with acute chest pain. Emergent coronary artery bypass grafting was done with saphenous vein grafts. Inappropriate use of gelatin-resorcinol-formaldehyde glue can be associated with ostial stenosis in the long term. Transesophageal echocardiography is useful to diagnose ostial stenosis of the coronary arteries.




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