Acute coronary artery obstruction after aortic valve replacement surgery and role of transesophageal echocardiography

Anesthesia and Pain Medicine 2017년 12권 4호 p.348 ~ p.351

장명수(Jang Myung-Soo) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
최정현(Choi Jeong-Hyun) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
한진희(Han Jin-Hee) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
최영인(Choi Young-In) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
김재민(Kim Jae-Min) - Kyung Hee University College of Medicine Department of Internal Medicine
윤효철(Youn Hyo-Chul) - Kyung Hee University College of Medicine Department of Thoracic and Cardiovascular Surgery

Abstract

Acute coronary artery obstruction is a rare but fatal complication of surgical aortic valve replacement (AVR). Sudden coronary spasm, embolization of calcium plaque, and surgical factors can induce acute coronary syndrome after AVR. Here, we report a case of left main coronary ostial obstruction that occurred immediately after weaning from cardiopulmonary bypass. This case highlights the importance of coronary ostial flow patency and assessment of regional wall motion abnormalities with intraoperative transesophageal echocardiography in AVR.

키워드

Aortic valve replacement, Echocardiography
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
This case highlights the importance of coronary ostial flow patency and assessment of regional wall motion abnormalities with intraoperative transesophageal echocardiography in AVR.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드