Author(s)

Majed Tolah^1,2, Marwan Sadek¹, Muhammed Tamim¹, Yasser Elkady¹

¹Cardiac Surgery Department, Cardiac Center, King Fahad Medical Military Complex, Dhahran, Saudi Arabia.
²Cardiac Surgery Department, Madinah Cardiac Center, Madinah, Saudi Arabia.

Coronary ostial stenosis after surgical aortic valve replacement (SAVR) is a rare but potentially fatal complication. Surgeons must have a high level of vigilance regarding the presentation of acute myocardial ischemia, arrhythmia, and heart failure after AVR. According to most reports, this event can be time-dependent divided into two groups; early acute phase that mostly happens intraoperative during weaning of CPB or in early ICU stay, and late presentation usually appears 1 - 6 months post surgery. Here, we describe an unusual subacute presentation of right coronary ostial stenosis 12 days after SAVR, which was treated successfully with redo beating heart coronary artery bypass grafting (CABG).

Non-ST Elevation Myocardial Infarction, Iatrogenic Complication, Coronary Artery Disease, Surgical Aortic Valve Replacement

Tolah, M. , Sadek, M. , Tamim, M. and Elkady, Y. (2023) Delayed Coronary Ostial Stenosis after Surgical Aortic Valve Replacement and Root Enlargement Treated with Beating Heart On-Pump CABG. World Journal of Cardiovascular Diseases, 13, 657-663. doi: 10.4236/wjcd.2023.1310058.