Mitsos Sofoklis, Attaran Saina, De Souza Anthony C
Royal Brompton Hospital, NHS Foundation Trust, Sydney Street, London, UK. Electronic correspondence:
Royal Brompton Hospital, NHS Foundation Trust, Sydney Street, London, UK.
J Heart Valve Dis. 2016 Jul;25(4):504-507.
Coronary artery stenosis is a potentially life-threatening complication after heart valve surgery. The details are presented of a patient with unobstructed coronary arteries, who underwent routine aortic valve replacement and developed dissection of the right coronary artery (RCA) on the third postoperative day, and occlusion of the left anterior descending (LAD) artery one month after surgery. This complication required prompt clinical recognition and diagnosis by repeat coronary angiography, and a rapid intervention with coronary artery bypass grafting or with angioplasty and stenting.
冠状动脉狭窄是心脏瓣膜手术后一种潜在的危及生命的并发症。本文详细介绍了一名冠状动脉通畅的患者，该患者接受了常规主动脉瓣置换术，术后第三天发生右冠状动脉（RCA）夹层，术后一个月左前降支（LAD）动脉闭塞。这种并发症需要通过重复冠状动脉造影进行及时的临床识别和诊断，并迅速采用冠状动脉旁路移植术或血管成形术及支架置入术进行干预。
