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Eur J Cardiothorac Surg 2002;22:472-475
© 2002 Elsevier Science NL

Case report

Iatrogenic left main and proximal right coronary artery stenoses after aortic valve replacement

Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Teaching and Research Hospital, Duacinari-16330, Bursa, Turkey

Received 5 February 2002; received in revised form 23 April 2002; accepted 10 May 2002.

* Corresponding author. Tel.: +90-224-360-5050; fax: +90-224-360-5055
e-mail: syavuz{at}ttnet.net.tr

Iatrogenic left main coronary artery stenosis after aortic valve replacement is an infrequent but potentially life-threatening complication. A 44-year-old woman who had normal coronary arteries documented by preoperative coronary angiogram, and who developed severe stenosis of the left main coronary artery and subtotal occlusion of the proximal right coronary artery after aortic and mitral valve replacements is presented. Coronary lesions were clinically manifested 4 months after the first operation. Accurate diagnosis was confirmed by repeat coronary angiography. She underwent successful coronary artery bypass grafting.

Key Words: Iatrogenic left main coronary artery stenosis • Aortic valve replacement • Coronary artery bypass grafting

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