Fibrocalcific Embolism of Right Coronary Artery Combined with Aortic Valvular Stenosis.
- Author:
Sung Wook CHANG
1
;
Jeong Ok PARK
;
Young Kwon KIM
;
Myoung Yong LEE
;
Jae Wook RYU
;
Seong Sik PARK
;
Pil Won SEO
;
Sam Hyun KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University, Korea. pwseo@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic valve stenosis;
Ischemic heart disease;
Embolism
- MeSH:
Aged;
Angioplasty;
Aortic Valve;
Aortic Valve Stenosis;
Constriction, Pathologic*;
Coronary Vessels*;
Embolism*;
Female;
Humans;
Inlays;
Myocardial Ischemia;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(11):858-861
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The main cause of ischemic heart disease combined with aortic valve disease is the systemic atherosclerotic process. Coronary artery embolism by a particle from the calcified aortic valvular tissue is very rare. A 73-year-old female patient was admitted due to chest tightness of recent onset. Two dimensional echocardiogram showed severe calcific aortic valve stenosis. Preoperative coronary angiogram exhibited a stenotic lesion at the distal right coronary artery, which seemed to be embolic in origin. The coronary embolus was removed through the coronary arteriotomy and then the arteriotomy site was repaired by onlay patch angioplasty technique. Aortic valve was replaced by a bioprosthetic valve. The embolus was reported as a fibrocalcified particle of diseased valve.
