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Iranian Heart Journal، جلد ۲۲، شماره ۲، صفحات ۱۱۵-۱۱۸
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عنوان انگلیسی An Uncommon Complication of an Aortic Valve Replacement
چکیده انگلیسی مقاله Acute myocardial infarction after an isolated aortic valve replacement is uncommon. An iatrogenic coronary dissection during coronary cannulation should be kept in mind, and the diagnosis and management of this complication are challenging in such a setting. The patient under analgesia is usually free of symptoms, and the interpretation of troponin elevation during the postoperative period could be complex. We herein describe a male patient who showed a cardiogenic shock and an electrical storm a few hours after an isolated aortic valve surgical operation. Transthoracic and transesophageal echocardiographic examinations demonstrated a very low left ventricular systolic function, no sign of prosthesis dysfunction, and no sign of aortic dissection. Coronary angiography revealed an extensive coronary artery dissection. This dissection concerned the left main and the entire left anterior descending artery. A bailout stenting was performed successfully. We herewith discuss the technical aspects of the management of this case and explain the mechanism of this complication. (Iranian Heart Journal 2021; 22(2): 115-118)
کلیدواژه‌های انگلیسی مقاله Iatrogenic coronary dissection,Aortic valve replacement,ANGIOPLASTY,Cardiogenic shock,Electrical storm
نویسندگان مقاله Rania Hammami |
Cardiology Department, Hedi Chaker Hospital, Research Unit RU 17ES37, University of Medicine, Sfax University, Tunisia.

Amine Bahloul |
Cardiology Department, Hedi Chaker Hospital, Research Unit RU 17ES37, University of Medicine, Sfax University, Tunisia.

Selma Charfeddine |
Cardiology Department, Hedi Chaker Hospital, Research Unit RU 17ES37, University of Medicine, Sfax University, Tunisia.

Leila Abid |
Cardiology Department, Hedi Chaker Hospital, Research Unit RU 17ES37, University of Medicine, Sfax University, Tunisia.

Majdi Gueldiche |
Cardiovascular Surgery Department, Habib Bourguiba Hospital, Sfax, Tunisia.

Samir Kammoun |
Cardiovascular Surgery Department, Habib Bourguiba Hospital, Sfax, Tunisia.

نشانی اینترنتی http://journal.iha.org.ir/article_128488_f7ffd079d197057650936286ececceb4.pdf
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