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March 23, 2022European Heart Journal - Case ReportsOpen Access

Stent angioplasty for coronary compression syndrome related to prosthetic aortic valve

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Why the study?

The appropriate management of coronary compression syndrome related to a prosthetic aortic valve is not well defined.

Population

A 76-year-old woman with post-surgical aortic valve replacement extrinsic LCX compression

Comparison

PCI with stent implantation rather than re-do surgery

Design

Case report

Follow-up

6 months

Authors

CSClément ServozUniversité Fédérale de Toulouse Midi-PyrénéesAMAnthony MattaInterventional CardiologyDCDidier CarriéInterventional Cardiology

Discussion

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Overview

Pre-op angiography identifies anomalous LCX before SAVR; leaves open whether routine screening improves outcomes in aortic stenosis.

Structured PICO

P
Population
76-year-old woman with severe aortic valve stenosis and anomalous origin of the left circumflex artery who developed NSTEMI due to extrinsic coronary compression by a bioprosthetic aortic valve 4 days after surgical aortic valve replacement.
I
Intervention
Percutaneous coronary intervention (PCI) with a 3 mm × 22 mm drug-eluting stent and post-dilation with a 3 mm × 12 mm non-compliant balloon.
O
Outcome
Clinical improvement, normalization of EKG abnormalities, reduction in troponin level, and normal transthoracic echocardiography (TTE) at 6 months of follow-up.

PCI with stenting is a feasible and effective treatment for coronary compression syndrome caused by a bioprosthetic aortic valve, avoiding the need for re-do surgery.

Cite This Study

Servoz et al. (2022) studied this question.

synapsesocial.com/papers/6a8a9ed11fb56efa37d4b1a8https://doi.org/10.1093/ehjcr/ytac133
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