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Progression of left main coronary artery disease 3 years after Bentall operation in a young female with Marfan syndrome

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Abstract

A 39-year-old woman with Marfan syndrome presented to our hospital with chest oppression on effort. She underwent aortic root remodeling combined with aortic valve replacement 14 years ago and Bentall operation for enlargement of remaining native Valsalva sinus 3 years ago. A coronary computed tomography and a coronary angiography showed left main coronary artery stenosis, which was subsequently treated with percutaneous coronary intervention using a bare-metal stent. Follow-up coronary angiography performed 1 year after stenting revealed no restenosis.

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References

  1. Keane MG, Pyeritz RE. Medical management of Marfan syndrome. Circulation. 2008;117:2802–13.

    Article  PubMed  Google Scholar 

  2. Chavanon O, Carrier M, Cartier R, Hebert Y, Pellerin M, Perrault LP. Early reoperation for iatrogenic left main stenosis after aortic valve replacement: a perilous situation. Cardiovasc Surg. 2002;10:256–63.

    Article  PubMed  CAS  Google Scholar 

  3. Park SJ, Kim YH, Park DW, Yun SC, Ahn JM, Song HG, et al. Randomized trial of stents versus bypass surgery for left main coronary artery disease. N Engl J Med. 2011;364:1718–27.

    Article  PubMed  CAS  Google Scholar 

  4. Shenoda M, Barack BM, Toggart E, Chang DS. Use of coronary computed tomography angiography to detect coronary ostial stenosis after Bentall procedure. J Cardiovasc Comput Tomogr. 2009;3:340–3.

    Article  PubMed  Google Scholar 

  5. Marino M, Cellini C, Tsiopoulos V, Pavone N, Zamparelli R, Corrado M, et al. A case of myocardial infarction effectively treated by emergency coronary stenting soon after a Bentall–De Bono aortic surgery. Cardiovasc Revasc Med. 2010;11:263.e5–9.

    Article  Google Scholar 

  6. Funada A, Mizuno S, Ohsato K, Murakami T, Moriuchi I, Misawa K, et al. Three cases of iatrogenic coronary ostial stenosis after aortic valve replacement. Circ J. 2006;70:1312–7.

    Article  PubMed  Google Scholar 

  7. Tsukiji M, Akasaka T, Wada N, Okahashi N, Kume T, Yoshitani H, et al. Bilateral coronary ostial stenosis after aortic valve replacement with Freestyle stentless bioprosthesis: a case report. J Cardiol. 2004;44:207–13.

    PubMed  Google Scholar 

  8. Trivi M, Albertal J, Vaccarino G, Albertal M, Navia D. Ostial stenosis after Bentall technique using glue: percutaneous stenting may be ineffective. Interact Cardiovasc Thorac Surg. 2007;6:511–3.

    Article  PubMed  Google Scholar 

  9. Bjork V, Henze A, Szamosi A. Coronary ostial stenosis: a complication of aortic valve replacement of coronary perfusion. Scand J Thorac Cardiovasc Surg. 1976;10:1–6.

    Article  PubMed  CAS  Google Scholar 

  10. Rath S, Goor DA, Har-Zahav Y, Buttler A, Ziskind Z. Coronary ostial stenosis after aortic valve replacement without coronary cannulation. Am J Cardiol. 1988;61:1156–7.

    Article  PubMed  CAS  Google Scholar 

  11. Pillai JB, Pillay TM, Ahmad J. Coronary ostial stenosis after aortic valve replacement, revisited. Ann Thorac Surg. 2004;78:2169–71.

    Article  PubMed  Google Scholar 

  12. Murakami M, Okada H, Nishida M, Hamano K. Stenosis of the grafted portion of the coronary artery after aortic root replacement with a Freestyle prosthesis. J Thorac Cardiovasc Surg. 2005;130:940–1.

    Article  PubMed  Google Scholar 

  13. Friedman MH, Baker PB, Ding Z, Kuban BD. Relationship between the geometry and quantitative morphology of the left anterior descending coronary artery. Atherosclerosis. 1996;125:183–92.

    Article  PubMed  CAS  Google Scholar 

  14. Zhu H, Ding Z, Piana RN, Gehrig TR, Friedman MH. Cataloguing the geometry of the human coronary arteries: a potential tool for predicting risk of coronary artery disease. Int J Cardiol. 2009;135:43–52.

    Article  PubMed  Google Scholar 

  15. Onoda K, Tanaka K, Yuasa U, Shimono T, Shimpo H, Yada I. Coronary artery aneurysm in a patient with Marfan syndrome. Ann Thorac Surg. 2001;72:1374–7.

    Article  PubMed  CAS  Google Scholar 

  16. Wain-Hobson J, Roule V, Dahdouh Z, Sabatier R, Lognoné T, Grollier G. Spontaneous coronary artery dissection: one entity with several therapeutic options. Cardiovasc Revasc Med. 2012;13:203.e1–4.

    Article  Google Scholar 

  17. Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2011;124:e574–651.

    Article  PubMed  Google Scholar 

  18. Toyofuku M, Kimura T, Morimoto T, Hayashi Y, Ueda H, Kawai K, et al. Three-year outcomes after sirolimus-eluting stent implantation for unprotected left main coronary artery disease: insights from the j-Cypher registry. Circulation. 2009;120:1866–74.

    Article  PubMed  Google Scholar 

  19. Park DW, Kim YH, Yun SC, Lee JY, Kim WJ, Kang SJ, et al. Long-term outcomes after stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: 10-year results of bare-metal stents and 5-year results of drug-eluting stents from the ASAN-MAIN (Asan Medical Center-Left MAIN Revascularization) Registry. J Am Coll Cardiol. 2010;56:1366–75.

    Article  PubMed  Google Scholar 

  20. Kimura T, Morimoto T, Furukawa Y, Nakagawa Y, Kadota K, Iwabuchi M, et al. Long-term safety and efficacy of sirolimus-eluting stents versus bare-metal stents in real world clinical practice in Japan. Cardiovasc Interv Ther. 2011;26:234–45.

    Article  CAS  Google Scholar 

  21. Lagerqvist B, James SK, Stenestrand U, Lindback J, Nilsson T, Wallentin L. Long-term outcomes with drug-eluting stents versus bare-metal stents in Sweden. N Engl J Med. 2007;356:1009–19.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-minamimachi, Chuo-ku, Kobe, 650-0047, Japan

    Tomohiro Nishino, Natsuhiko Ehara, Kitae Kim, Atsushi Yamamuro, Takeshi Kitai, Atsushi Kobori, Makoto Kinoshita, Shuichiro Kaji, Tomoko Tani & Yutaka Furukawa

  2. Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan

    Yukikatsu Okada

Authors
  1. Tomohiro Nishino
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  2. Natsuhiko Ehara
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  3. Kitae Kim
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  4. Atsushi Yamamuro
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  5. Takeshi Kitai
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  6. Atsushi Kobori
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  7. Makoto Kinoshita
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  8. Shuichiro Kaji
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  9. Tomoko Tani
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  10. Yukikatsu Okada
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  11. Yutaka Furukawa
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Correspondence to Natsuhiko Ehara.

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Nishino, T., Ehara, N., Kim, K. et al. Progression of left main coronary artery disease 3 years after Bentall operation in a young female with Marfan syndrome. Cardiovasc Interv and Ther 28, 206–212 (2013). https://doi.org/10.1007/s12928-012-0148-6

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  • DOI: https://doi.org/10.1007/s12928-012-0148-6

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