Angina Research Today is a free monthly online journal that collates and summarizes the latest research about Angina, including details on symptoms, treatment, causes, prevention, surgery.

Managing low profile - left main transmural laceration.

Anthonio RL, Jessurun GA, Erasmus ME, Zijlstra F

Department of Cardiology, University Medical Centre Groningen Thorax Centre, The Netherlands. r.l.anthonio@thorax.azg.nl

Perforation of the left main stem is a rare complication associated with combined aortic valve replacement and by-pass surgery. One-year following aortic valve replacement a 70-year-old male presented with chest pain. This was related to a slowly expanding haematoma caused by a low profile chronic perforation of the left main. Subsequently, a tailored percutaneous modification of the main stem was performed. At three months follow-up, he had no complaints and selective coronary angiography confirmed the successful sealing of the perforation with a concomitant regression of the prior haematoma.

Published 15 July 2005 in Int J Cardiovasc Intervent, 7(1): 59-60.
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