Coronary CT angiography is a valuable diagnostic tool for evaluating symptomatic patients following surgical aortic root replacement.
PCI feasible for late ostial stenosis post-Bentall in Marfan; leaves open optimal surveillance and management strategies.
Introduction: The majority of patients with Marfan syndrome undergo Bentall procedure. Several periprocedural complications may arise; cardiac complications play the most dominant role. Case presentation: A patient with Marfan syndrome developed symptoms two years after the Bentall procedure. Coronary CT angiography revealed bilateral coronary ostial stenosis. Percutaneous coronary intervention was performed, and two drug-eluting stents were implanted. Conclusions: Coronary CT angiography is a valuable tool for the examination of symptomatic patients following surgical aortic root replacement.
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Vecsey-Nagy et al. (2017) studied this question.
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