Managing low profile - left main transmural laceration

Int J Cardiovasc Intervent. 2005;7(1):59-60. doi: 10.1080/14628840510011144.

Abstract

Perforation of the left main stem is a rare complication associated with combined aortic valve replacement and by-pass surgery. One-year following aortic valve replacement a 70-year-old male presented with chest pain. This was related to a slowly expanding haematoma caused by a low profile chronic perforation of the left main. Subsequently, a tailored percutaneous modification of the main stem was performed. At three months follow-up, he had no complaints and selective coronary angiography confirmed the successful sealing of the perforation with a concomitant regression of the prior haematoma.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angina Pectoris / diagnosis*
  • Angina Pectoris / etiology
  • Angina Pectoris / therapy*
  • Angioplasty, Balloon, Coronary / methods*
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / therapy
  • Bioprosthesis
  • Combined Modality Therapy
  • Coronary Angiography
  • Coronary Artery Bypass / adverse effects*
  • Coronary Artery Bypass / methods
  • Coronary Vessels / pathology*
  • Echocardiography, Transesophageal
  • Follow-Up Studies
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Lacerations / etiology*
  • Lacerations / physiopathology
  • Male
  • Monitoring, Physiologic
  • Muscle, Smooth, Vascular / injuries
  • Risk Assessment
  • Severity of Illness Index
  • Stents