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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2021; 10(01): e52-e54
DOI: 10.1055/s-0041-1731275
Case Report: Cardiac

Dissection of the Left Coronary Artery after Surgical Aortic Valve Replacement

Haval Sadraddin
1   Clinic for Cardiovascular Surgery, Herzzentrum Duisburg, Duisburg, Germany
,
Ulrich Krüger
2   Clinic for Cardiology and Angiology, Herzzentrum Duisburg, Duisburg, Nordrhein-Westfalen, Germany
,
Jochen Börgermann
1   Clinic for Cardiovascular Surgery, Herzzentrum Duisburg, Duisburg, Germany
,
Mustafa Gerçek 
1   Clinic for Cardiovascular Surgery, Herzzentrum Duisburg, Duisburg, Germany
› Author Affiliations Funding No funding was received.
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Abstract

Our report presents a 73-year-old female patient with severe aortic stenosis who was admitted to our department for a surgical aortic valve replacement. After an uneventful surgery, a worsening low cardiac output syndrome with signs of myocardial ischemia occurred. Immediate angiography revealed a diffuse left coronary dissection starting from the ostium extending to the periphery of the left coronary system. The diffuse nature of the dissection ruled interventional management out and thus has been treated with urgent coronary bypass surgery. However, after an antecedent favorable course, the patient died 2 months later due to pneumonia resulting in septic shock.

Keywords

ischemia/reperfusion - myocardial protection/cardioplegia - surgery - complication

Disclosures

None.




Publication History

Received: 01 April 2021

Accepted: 30 April 2021

Article published online:
31 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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