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Ann Thorac Surg 2004;77:1854-1856
© 2004 The Society of Thoracic Surgeons

How to do it

Coronary ostial enlargement to prevent stenosis after prosthetic aortic valve replacement

Francesco Santini, MDa*, Samuele Pentiricci, MDa, Antonio Messina, MDa, Alessandro Mazzucco, MDa

a Division of Cardiac Surgery, University of Verona Medical School, Verona, Italy

Accepted for publication July 25, 2003.

* Address reprint requests to Dr Santini, Division of Cardiac Surgery, Piazzale Stefani 1, 37126 Verona, Italy.
e-mail: fsant{at}yahoo.com

Iatrogenic left and/or right coronary artery ostial stenosis after aortic valve replacement is a rare but life-threatening complication. Although usually related to trauma to the ostium/a during cannulation for administration of cardioplegia, it may be rarely due to direct obstruction by the prosthetic annular ring or stent. We report herein an alternative technique to manage this complication when due to the latter event, successfully utilized at our institution over the last eleven years.




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[Abstract] [Full Text] [PDF]


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