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Coronary ostia obstruction after replacement of aortic valve prostesis

Emanuela Turillazzi1, Gabriele Di Giammarco2, Margherita Neri1, Stefania Bello1, Irene Riezzo1 and Vittorio Fineschi1*

Author Affiliations

1 Department of Forensic Pathology, University of Foggia, Ospedale Colonnello D'Avanzo, Via degli Aviatori 1, 71100 Foggia, Italy

2 Institute of Cardiac Surgery, University of Chieti, Via dei Vestini, 29, 66100 Chieti, Italy

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Diagnostic Pathology 2011, 6:72  doi:10.1186/1746-1596-6-72

Published: 2 August 2011


Aortic valve replacement (AVR) is the gold standard for the treatment of severe symptomatic aortic stenosis. Complications directly related to surgical procedure are relatively infrequent. Coronary ostial stenosis is, generally, referred as late complication. Anecdotal reports concern coronary ostial stenosis as acute complication. A unique fatal case of intraoperative, bilateral coronary ostial obstruction by prosthetic valve leading to an extensive myocardial infarction is reported. Surgeons must have a high level of vigilance regarding the occurrence of acute myocardial ischemia and sudden death soon after AVR.

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aortic valve replacement; aortic stenosis; coronary ostia obstruction; myocardial infarction