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Pannus-related left main trunk ostial stenosis after aortic valve replacement

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Abstract

A 34-year-old woman was hospitalized with shortness of breath and chest tightness and pain. She had undergone aortic valve replacement for aortic stenosis at the age of 18 years. Transthoracic echocardiography showed left ventricular asynergy and a high aortic valve pressure gradient. Thus, structural valve deterioration was diagnosed. Coronary computed tomography and coronary angiography revealed left main trunk ostial stenosis that had caused acute anteroseptal myocardial infarction. Urgent surgery revealed pannus formation around the prosthetic valve and covering the ostium of the left main trunk. A Bentall procedure and coronary artery bypass grafting were performed. The postoperative course was uneventful.

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Acknowledgements

We thank Dr. Trish Reynolds, MBBS, FRACP, from Edanz (https://jp.edanz.com/ac) for editing a draft of this manuscript.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Saitama Sekishinkai Hospital, 2-37-20, Irumagawa, Sayama, Saitama, 350-1305, Japan

    Taiyo Jinno, Yasuyuki Kato, Hidetaka Yamauchi, Yusuke Date, Kenichi Sasaki, Atsushi Shimizu, Hiroshi Kiyama & Toshiya Koyanagi

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  1. Taiyo Jinno
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  2. Yasuyuki Kato
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  3. Hidetaka Yamauchi
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  4. Yusuke Date
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  5. Kenichi Sasaki
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  6. Atsushi Shimizu
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  7. Hiroshi Kiyama
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  8. Toshiya Koyanagi
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Correspondence to Taiyo Jinno.

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Jinno, T., Kato, Y., Yamauchi, H. et al. Pannus-related left main trunk ostial stenosis after aortic valve replacement. Gen Thorac Cardiovasc Surg 69, 1511–1514 (2021). https://doi.org/10.1007/s11748-021-01704-3

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  • DOI: https://doi.org/10.1007/s11748-021-01704-3

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