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European Heart Journal 1988 9(10):1151-1154;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Iatrogenic left main coronary artery stenosis following aortic valve replacement

H. PRACHAR, J. MÜHLBAUER, H. POLLAK and W. ENENKEL

Address for correspondence. Dr Herbert Prachar, 4. Med. Abteilung mit Kardiologie, Krankenhaus Wien–Lainz, Wolkersbergenstraße I, A-1130 Wien, Austria.

Abstract

A case of severe iatrogenic fibrous left main coronary artery stenosis following aortic valve replacement (Hall-Kaster prosthesis) is documented clinically, angiographically and histologically. Reported histological data of this rare complication of valve replacement are reviewed. The onset of ischaemic symptoms in the first six months after valve replacement is highly suggestive of iatrogenic coronary artery stenosis, and urgent coronary angiography is recommended.

Key Words: Aortic valve replacement • iatrogenic fibrotic left main coronary artery stenosis


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