A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case Report

Iatrogenic coronary artery obstruction is one of many life-threatening complications associated with aortic valve replacement. Although very few cases of ostial coronary artery occlusion following cardiac surgery are reported, the consequences can be catastrophic due to increased risk of mortality....

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Main Authors: Emmanuel Daniel MD, Mohammed El-Nayir MD, Thomas Dougan MD, Priyata Dutta MD, Paul Nona MD
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/23247096251358675
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author Emmanuel Daniel MD
Mohammed El-Nayir MD
Thomas Dougan MD
Priyata Dutta MD
Paul Nona MD
author_facet Emmanuel Daniel MD
Mohammed El-Nayir MD
Thomas Dougan MD
Priyata Dutta MD
Paul Nona MD
author_sort Emmanuel Daniel MD
collection DOAJ
description Iatrogenic coronary artery obstruction is one of many life-threatening complications associated with aortic valve replacement. Although very few cases of ostial coronary artery occlusion following cardiac surgery are reported, the consequences can be catastrophic due to increased risk of mortality. Due to the rarity, prompt investigation and early management are crucial to manage this catastrophic sequelae. We report a case in which a 61-year-old female presented with acute coronary syndrome 4 months after surgical aortic valve replacement and was found to have 99% left main ostial coronary artery occlusion.
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id doaj-art-7179f21cd6bb4397b9c7b53cc6243db3
institution Kabale University
issn 2324-7096
language English
publishDate 2025-07-01
publisher SAGE Publishing
record_format Article
series Journal of Investigative Medicine High Impact Case Reports
spelling doaj-art-7179f21cd6bb4397b9c7b53cc6243db32025-08-20T03:25:26ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962025-07-011310.1177/23247096251358675A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case ReportEmmanuel Daniel MD0Mohammed El-Nayir MD1Thomas Dougan MD2Priyata Dutta MD3Paul Nona MD4Trinity Health Ann Arbor, Ypsilanti, MI, USATrinity Health Ann Arbor, Ypsilanti, MI, USATrinity Health Livonia, MI, USATrinity Health Ann Arbor, Ypsilanti, MI, USATrinity Health Livonia, MI, USAIatrogenic coronary artery obstruction is one of many life-threatening complications associated with aortic valve replacement. Although very few cases of ostial coronary artery occlusion following cardiac surgery are reported, the consequences can be catastrophic due to increased risk of mortality. Due to the rarity, prompt investigation and early management are crucial to manage this catastrophic sequelae. We report a case in which a 61-year-old female presented with acute coronary syndrome 4 months after surgical aortic valve replacement and was found to have 99% left main ostial coronary artery occlusion.https://doi.org/10.1177/23247096251358675
spellingShingle Emmanuel Daniel MD
Mohammed El-Nayir MD
Thomas Dougan MD
Priyata Dutta MD
Paul Nona MD
A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case Report
Journal of Investigative Medicine High Impact Case Reports
title A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case Report
title_full A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case Report
title_fullStr A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case Report
title_full_unstemmed A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case Report
title_short A Rare Complication Unveiled: Ostial Left Main Stenosis Post SAVR—A Case Report
title_sort rare complication unveiled ostial left main stenosis post savr a case report
url https://doi.org/10.1177/23247096251358675
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