tailieunhanh - Báo cáo y học: "Unstable angina early after aortic valve replacement surgery in a female patient with normal coronary arteries preoperatively – a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Unstable angina early after aortic valve replacement surgery in a female patient with normal coronary arteries preoperatively – a case report. | Journal of Cardiothoracic Surgery BioMed Central Open Access Case report Unstable angina early after aortic valve replacement surgery in a female patient with normal coronary arteries preoperatively - a case report Sybille Gruber1 Choi-Keung Ng2 Christian Schwarz2 and Johann Auer 1 3 Address Department of Cardiology and Intensive Care General Hospital Braunau Austria 2Department of Cardiac Surgery General Hospital Wels Austria and 3Department of Cardiology and Intensive Care General Hospital Simbach Germany Email Sybille Gruber - sybille_gruber@ Choi-Keung Ng - Christian Schwarz - Johann Auer - Corresponding author Published 2 July 2009 Received 17 April 2009 Journal of Cardiothoracic Surgery 2009 4 29 doi 1749-8090-4-29 Accepted 2 July 2009 This article is available from http content 4 1 29 2009 Gruber et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Angina pectoris early after aortic valve replacement surgery in patients with previously normal coronary arteries may be life threatening and has to be assessed immediately. Case report 12 weeks after aortic valve replacement surgery a 60-year-old female patient was referred for evaluation of recent onset of severe chest pain on mild exertion and at rest. Coronary angiography showed severe stenosis nvolving the left coronary ostium and the left main stem. The patient was urgently referred for bypass surgery and had an uneventful postoperative recovery. Conclusion A high degree of suspicion is needed for early recognition and aggressive management of this rare but serious complication. Background Unstable angina is rare but may .