Séguéla Pierre-Emmanuel, Roubertie François, Thambo Jean-Benoit
Congenital and Pediatric Cardiology Unit, Hôpital Haut Lévèque, Avenue de Magellan, 33604 PESSAC, Cedex, France.
Cardiovascular Surgery Unit, Hôpital Haut Lévèque, Avenue de Magellan, 33604 PESSAC, Cedex, France.
Catheter Cardiovasc Interv. 2016 Jul;88(1):99-102. doi: 10.1002/ccd.26270. Epub 2015 Nov 3.
Injury of the left main coronary artery may sometimes complicate a pulmonary valve replacement (PVR). We present the case of a 39-year-old man, with post-operative distortion of the left anterior descending coronary artery, which caused onset of ventricular arrhythmia associated with electrocardiographic signs of myocardial ischemia. A coronary angiogram revealed the cause of the lesion. Stenting the coronary artery restored normal coronary blood flow and improved the patient's condition. Through this case, we describe a new life-threatening complication after PVR. © 2015 Wiley Periodicals, Inc.
左冠状动脉主干损伤有时会使肺动脉瓣置换术（PVR）变得复杂。我们报告一例39岁男性病例，其左前降支冠状动脉术后出现扭曲，导致室性心律失常发作并伴有心肌缺血的心电图表现。冠状动脉造影揭示了病变原因。冠状动脉支架置入恢复了正常的冠状动脉血流，改善了患者状况。通过本病例，我们描述了PVR术后一种新的危及生命的并发症。© 2015威利期刊公司。
