Key result
Saphenous vein grafting successfully rescues iatrogenic left main disruption during aortic valve replacement.
Why the study?
Iatrogenic complications involving the left main coronary artery during aortic valve replacement are rare but clinically significant and require timely recognition and management.
Case Report (n=1)
No
Prompt recognition may enable salvage of rare LMCA injury during AVR; single case leaves open incidence, prevention, and optimal strategies.
This aortic valve replacement (AVR) remains the gold standard for symptomatic aortic stenosis. Peri-operative complications like dissection, stenosis involving coronary artery are well described in many series. We present a rare iatrogenic complication of disrupted left main coronary artery during the delivery of cardioplegia while performing AVR in a 54 year male patient for severe calcific aortic stenosis. The inadvertent injury to the artery was timely noticed and managed successfully with long saphenous vein graft.
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Rohit et al. (2016) conducted a case report in Severe calcific aortic stenosis (n=1). Long saphenous vein graft was evaluated. An iatrogenic disruption of the left main coronary artery during aortic valve replacement was promptly recognized and successfully managed using a long saphenous vein graft.
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