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Ann Thorac Surg 2004;78:2169-2171
© 2004 The Society of Thoracic Surgeons

Case report

Coronary Ostial Stenosis After Aortic Valve Replacement, Revisited

Jain B. Pillai, FRCS*,a, Thasee M. Pillay, FRCSa, Javed Ahmad, MRCPb

a Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle Upon Tyne, United Kingdom
b Department of Cardiology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom

Accepted for publication August 1, 2003.

* Address reprint requests to Dr Pillai, Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle Upon Tyne NE7 7DN, UK
jain_freeman{at}hotmail.com

Coronary artery occlusive disease that develops after an uncomplicated aortic valve replacement is well recognized. We present a case that required two further coronary operations and two salvage angioplasty procedures for a continuing fibrotic process in the ascending aorta. The literature and pathology are reviewed.






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