Surgical glue-induced left main trunk stenosis removed by directional coronary atherectomy.
Hideki KitamuraMototsugu TamakiYasuhiko KawaguchiPublished in: Interactive cardiovascular and thoracic surgery (2021)
A 55-year-old man underwent aortic repair for acute aortic dissection. The pseudolumen of the Valsalva sinus was reapproximated with BioGlue by placing a sponge inside of it to prevent the BioGlue from entering. Postoperative contrast-enhanced computed tomography showed stenosis of the left main trunk. Directional coronary atherectomy was performed; complete release of the stenosis was achieved. Various fragments retrieved from the left main trunk were pathologically consistent with BioGlue. When we reapproximated the dissected aortic wall, inserting a sponge into the aorta did not prevent the surgical glue from entering. Directional coronary atherectomy was a good therapeutic option to treat glue-induced coronary artery stenosis.
Keyphrases
- coronary artery
- aortic dissection
- pulmonary artery
- contrast enhanced
- computed tomography
- magnetic resonance imaging
- coronary artery disease
- high glucose
- diffusion weighted
- aortic valve
- diabetic rats
- drug induced
- magnetic resonance
- lower limb
- patients undergoing
- positron emission tomography
- diffusion weighted imaging
- heart failure
- liver failure
- left ventricular
- intensive care unit
- respiratory failure
- pulmonary hypertension
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- transcatheter aortic valve replacement
- mechanical ventilation