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Bilateral coronary ostial stenoses post-Bentall procedure: management options in the DES era

Matthew I Worthley1, John Burgess, Mouheiddin Traboulsi

  • 1Department of Cardiovascular Sciences, University of Calgary, Calgary, Alberta, Canada.

The Journal of Invasive Cardiology
|December 6, 2005
PubMed

Insights

The Bentall procedure, a gold standard for aortic root and valve issues, rarely causes coronary ostial stenosis. This report details the first case of bilateral coronary ostial stenoses after the Bentall procedure, successfully treated with percutaneous coronary intervention (PCI).

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Hematology

Background:

  • The Bentall procedure is the gold standard for aortic root and valve replacement with coronary reimplantation.
  • It is commonly used for degenerative aortic diseases like atherosclerosis and aortic dilatation.
  • Coronary ostial stenosis is a rare complication, affecting less than 2% of patients.

Observation:

  • This study presents the first documented case of bilateral coronary ostial stenoses after a Bentall procedure.
  • The patient had a history of heparin-induced thrombocytopenia (HIT).

Findings:

  • Bilateral coronary ostial stenoses following the Bentall procedure were successfully treated with percutaneous coronary intervention (PCI).
  • This case highlights a rare complication and its effective management.

Implications:

  • This case expands the understanding of potential complications following the Bentall procedure.
  • Percutaneous coronary intervention (PCI) can be a viable treatment option for rare bilateral coronary ostial stenoses post-Bentall procedure, even in patients with HIT.

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