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Eur J Cardiothorac Surg 2003;23:139
© 2003 Elsevier Science NL
Letter to the Editor |
Department of Surgery and Research Center, Montreal Heart Institute, Montreal, Québec H1T 1C8, Canada
Received 17 September 2002; received in revised form 17 September 2002; accepted 17 October 2002.
* Corresponding author. Tel.: +1-514-376-3330 ext. 3715; fax: +1-514-376-1355
e-mail: lpperrau@icm.umontreal.ca
Key Words: Iatrogenic left main coronary artery stenosis Aortic valve replacement Coronary artery bypass grafting
| The first 20% of the full text of this article appears below. |
We read with great interest the case report by Yavuz et al. [1] about a severe iatrogenic stenosis of the left main coronary artery (LMCA) and proximal right coronary artery (RCA) after direct instillation of cardioplegia into the coronary ostia during an aortic and mitral valve replacements, 4 months earlier. We agree that this complication may be grossly underreported and may account for sudden death or adverse outcome after aortic valve replacement (AVR). In a recently published retrospective study, dating from 1987 to present [2], seven cases of iatrogenic left main coronary stenosis were observed at the
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