Acute coronary artery obstruction after aortic valve replacement surgery and role of transesophageal echocardiography
Anesthesia and Pain Medicine 2017³â 12±Ç 4È£ p.348 ~ p.351
Àå¸í¼ö(Jang Myung-Soo) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
ÃÖÁ¤Çö(Choi Jeong-Hyun) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
ÇÑÁøÈñ(Han Jin-Hee) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
ÃÖ¿µÀÎ(Choi Young-In) - Kyung Hee University College of Medicine Department of Anesthesiology and Pain Medicine
±èÀç¹Î(Kim Jae-Min) - Kyung Hee University College of Medicine Department of Internal Medicine
À±È¿Ã¶(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.
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Aortic valve replacement, Echocardiography
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This case highlights the importance of coronary ostial flow patency and assessment of regional wall motion abnormalities with intraoperative transesophageal echocardiography in AVR.