Prachar H, Mühlbauer J, Pollak H, Enenkel W
4 Medizinische Abteilung mit Kardiologie, Krankenhaus der Stadt Wien, Lainz, Austria.
Eur Heart J. 1988 Oct;9(10):1151-4. doi: 10.1093/oxfordjournals.eurheartj.a062413.
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.
记录了一例主动脉瓣置换术（霍尔-卡斯特人工瓣膜）后发生严重医源性左冠状动脉主干纤维性狭窄的病例，包括临床、血管造影和组织学方面的记录。对这种瓣膜置换术罕见并发症的已报道组织学数据进行了综述。瓣膜置换术后头六个月出现缺血症状强烈提示医源性冠状动脉狭窄，建议紧急进行冠状动脉造影。
