Acute coronary syndrome as a result of left main coronary artery stenosis after aortic valve replacement. A report of three cases

Aleksander Araszkiewicz; Maciej Lesiak; Tomasz Urbanowicz; Stanisław Jankiewicz; Stefan Grajek

doi:10.5114/pwki.2013.35450

Acute coronary syndrome as a result of left main coronary artery stenosis after aortic valve replacement. A report of three cases

Postepy Kardiol Interwencyjnej. 2013;9(2):150-4. doi: 10.5114/pwki.2013.35450. Epub 2013 Jun 17.

Authors

Aleksander Araszkiewicz¹, Maciej Lesiak¹, Tomasz Urbanowicz², Stanisław Jankiewicz¹, Stefan Grajek¹

Affiliations

¹ 1 Department of Cardiology, Poznan University of Medical Sciences, Poland.
² Department of Cardiac Surgery, Poznan University of Medical Sciences, Poland.

Abstract

Acute coronary syndrome (ACS) as a result of iatrogenic coronary ostial stenosis (ICOS) is a rare but potentially life-threatening complication of aortic valve replacement (AVR). We present three cases of patients with ACS shortly after AVR, in whom ICOS were revealed. They refused an operation and thus they were treated with percutaneous coronary intervention. The potential pathomechanisms of ICOS and treatment options are discussed.

Keywords: acute coronary syndrome; aortic valve replacement; left main coronary artery stenosis.