Daniel Emmanuel, El-Nayir Mohammed, Dougan Thomas, Dutta Priyata, Nona Paul
Trinity Health Ann Arbor, Ypsilanti, MI, USA.
Trinity Health Livonia, MI, USA.
J Investig Med High Impact Case Rep. 2025 Jan-Dec;13:23247096251358675. doi: 10.1177/23247096251358675. Epub 2025 Jul 15.
Iatrogenic coronary artery obstruction is one of many life-threatening complications associated with aortic valve replacement. Although very few cases of ostial coronary artery occlusion following cardiac surgery are reported, the consequences can be catastrophic due to increased risk of mortality. Due to the rarity, prompt investigation and early management are crucial to manage this catastrophic sequelae. We report a case in which a 61-year-old female presented with acute coronary syndrome 4 months after surgical aortic valve replacement and was found to have 99% left main ostial coronary artery occlusion.
医源性冠状动脉阻塞是与主动脉瓣置换相关的众多危及生命的并发症之一。尽管心脏手术后冠状动脉开口闭塞的病例报告极少,但由于死亡风险增加,其后果可能是灾难性的。由于这种情况罕见,及时调查和早期处理对于管理这种灾难性后遗症至关重要。我们报告一例61岁女性患者,在接受主动脉瓣置换手术4个月后出现急性冠状动脉综合征,经检查发现左冠状动脉主干开口闭塞达99%。