Why the study?
Can intraoperative open-heart coronary angiography be used to assess coronary stenoses in a patient with severe acute aortic valve endocarditis and extensive coronary calcification?
Can intraoperative open-heart coronary angiography be used to assess coronary stenoses in a patient with severe acute aortic valve endocarditis and extensive coronary calcification?
Intraoperative open-heart coronary angiography can be successfully used to rule out significant coronary stenoses in patients with severe aortic valve endocarditis and extensive calcification, avoiding unnecessary bypass surgery.
May enable avoidance of unnecessary CABG in select endocarditis cases with calcification; leaves open broader validation.
We present the use of intraoperative open-heart coronary angiography in a patient with aortic valve endocarditis and extensive coronary calcification on coronary computed tomography angiography. Open-heart angiography was performed intraoperatively and revealed no significant stenoses. Aortic valve replacement without concomitant bypass surgery was performed, and the patient had an uneventful postoperative course.
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Linden et al. (2018) studied this question.
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