Percutaneous aspiration of calcium debris resulting in coronary artery occlusion after aortic valve replacement

Percutaneous aspiration of calcium debris resulting in coronary artery occlusion after aortic... European Journal of Cardio-Thoracic Surgery 0 (2018) 1 IMAGES IN CARDIO-THORACIC SURGERY doi:10.1093/ejcts/ezy124 Cite this article as: Simek M, Sluka M, Gwozdziewicz M. Percutaneous aspiration of calcium debris resulting in coronary artery occlusion after aorticvalve replacement. Eur J Cardiothorac Surg 2018; doi:10.1093/ejcts/ezy124. Percutaneous aspiration of calcium debris resulting in coronary artery occlusion after aortic valve replacement a, b a Martin Simek *, Martin Sluka and Marek Gwozdziewicz Department of Cardiac Surgery, University Hospital Olomouc, Olomouc, Czech Republic b st 1 Department of Internal Medicine, University Hospital Olomouc, Olomouc, Czech Republic * Corresponding author. Department of Cardiac Surgery, University Hospital Olomouc, I.P.Pavlova 6, 772 00 Olomouc, Czech Republic. Tel: +420-58-5852344; fax: +420-58-5852377; e-mail: martin.simek@c-mail.cz (M. Simek). Received 15 January 2018; received in revised form 28 February 2018; accepted 4 March 2018 Keywords: Coronary artery occlusion � Percutaneous aspiration � Aortic valve replacement Figure 1: A 65-year-old woman presented with an anterior STEMI 1 h after the conventional aortic valve replacement with a 21-mm bioprosthesis (A), and she under- went percutaneous aspiration for non-opalescent occlusion of the proximal LAD (B–D). Some calcium debris was successfully removed by a thrombectomy aspiration device (D). Left ventricular saline lavage with coronary ostia protection did not completely prevent the embolization of debris loosened during annular debridement, even when only anterograde cardioplegia was administered. Funding This work was supported by the institutional research development programme [FNOL RVO 2017]. The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. Downloaded from https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezy124/4953777 by Ed 'DeepDyve' Gillespie user on 07 June 2018 IMAGES IN CARDIO- THORACIC SURGERY http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cardio-Thoracic Surgery Oxford University Press

Percutaneous aspiration of calcium debris resulting in coronary artery occlusion after aortic valve replacement

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Publisher
Oxford University Press
Copyright
© The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
ISSN
1010-7940
eISSN
1873-734X
D.O.I.
10.1093/ejcts/ezy124
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Abstract

European Journal of Cardio-Thoracic Surgery 0 (2018) 1 IMAGES IN CARDIO-THORACIC SURGERY doi:10.1093/ejcts/ezy124 Cite this article as: Simek M, Sluka M, Gwozdziewicz M. Percutaneous aspiration of calcium debris resulting in coronary artery occlusion after aorticvalve replacement. Eur J Cardiothorac Surg 2018; doi:10.1093/ejcts/ezy124. Percutaneous aspiration of calcium debris resulting in coronary artery occlusion after aortic valve replacement a, b a Martin Simek *, Martin Sluka and Marek Gwozdziewicz Department of Cardiac Surgery, University Hospital Olomouc, Olomouc, Czech Republic b st 1 Department of Internal Medicine, University Hospital Olomouc, Olomouc, Czech Republic * Corresponding author. Department of Cardiac Surgery, University Hospital Olomouc, I.P.Pavlova 6, 772 00 Olomouc, Czech Republic. Tel: +420-58-5852344; fax: +420-58-5852377; e-mail: martin.simek@c-mail.cz (M. Simek). Received 15 January 2018; received in revised form 28 February 2018; accepted 4 March 2018 Keywords: Coronary artery occlusion � Percutaneous aspiration � Aortic valve replacement Figure 1: A 65-year-old woman presented with an anterior STEMI 1 h after the conventional aortic valve replacement with a 21-mm bioprosthesis (A), and she under- went percutaneous aspiration for non-opalescent occlusion of the proximal LAD (B–D). Some calcium debris was successfully removed by a thrombectomy aspiration device (D). Left ventricular saline lavage with coronary ostia protection did not completely prevent the embolization of debris loosened during annular debridement, even when only anterograde cardioplegia was administered. Funding This work was supported by the institutional research development programme [FNOL RVO 2017]. The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. Downloaded from https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezy124/4953777 by Ed 'DeepDyve' Gillespie user on 07 June 2018 IMAGES IN CARDIO- THORACIC SURGERY

Journal

European Journal of Cardio-Thoracic SurgeryOxford University Press

Published: Mar 26, 2018

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