Iatrogenic left main and right coronary ostial occlusion following surgical aortic valve replacement

ABSTRACT Surgical aortic valve replacement is the gold standard for treatment of severe symptomatic aortic stenosis. Complications directly related to surgical procedure are relatively infrequent. Coronary ostial stenosis is a rare but potentially life-threatening complication, whose exact pathogenetic mechanism is not known, but a few hypotheses have been proposed. We present a case of a recurrent acute coronary syndrome during the first 12 months after simultaneous surgical aortic valve replacement and coronary artery bypass grafting, as a result of bilateral [...]