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- Sofia Thomopoulou, Petros Sfirakis, and Konstantinos Spargias.
- Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
- J Invasive Cardiol. 2008 Apr 1; 20 (4): E124-5.
AbstractIatrogenic ostial coronary stenosis is a rare life-threatening complication of aortic valve replacement, usually presenting after 2-6 months. Although it is rarely reported, its incidence has been estimated at 0.3-5%. The most likely mechanism is posttraumatic fibrous intimal proliferation caused by coronary ostia cannulation for direct cardioplegia. We report a unique case of early occurrence of thrombotic obstruction of the left main stem following aortic valve replacement and its interventional management.
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