Glue-Related Left Main Coronary Stenosis After a Modified Bentall Procedure: IVUS-Guided PCI
Muhsin Melik1, İlhan İlker Avcı1, Mustafa Azmi Sungur1
1University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
Background:
Extrinsic left main coronary artery (LMCA) stenosis is a rare but potentially life-threatening complication that may occur after modified Bentall surgery because of BioGlue use.
Case Summary:
We present a case of LMCA stenosis thought to be secondary to BioGlue application after modified Bentall surgery, diagnosed through multimodal imaging and successfully treated with intravascular ultrasound (IVUS)-guided percutaneous coronary intervention (PCI).
Discussion:
In conjunction with a review of the existing literature, this case adds to the limited number of reports on the diagnosis and management of BioGlue-related LMCA stenosis. It emphasizes the feasibility of multimodality imaging and IVUS-guided PCI, and outlines factors to consider in stent selection for this context.
Take-Home Message:
IVUS-guided PCI may be an important therapeutic option in patients with a recent history of cardiac surgery.
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