Coronary Artery Perforation During Percutaneous Coronary Intervention in a Patient with a Prior Modified Bentall Procedure

Masaki Tsuji; Satoshi Kodera; Tsukasa Oshima; Masae Uehara; Arihiro Kiyosue; Jiro Ando; Masafumi Watanabe; Haruo Yamauchi; Minoru Ono; Issei Komuro

doi:10.1536/ihj.17-357

Case Reports

Coronary Artery Perforation During Percutaneous Coronary Intervention in a Patient with a Prior Modified Bentall Procedure

Masaki Tsuji, Satoshi Kodera, Tsukasa Oshima, Masae Uehara, Arihiro Kiyosue, Jiro Ando, Masafumi Watanabe, Haruo Yamauchi, Minoru Ono, Issei Komuro

Author information

Masaki Tsuji
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
Satoshi Kodera
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
Tsukasa Oshima
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
Masae Uehara
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
Arihiro Kiyosue
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
Jiro Ando
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
Masafumi Watanabe
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
Haruo Yamauchi
Department of Cardiac Surgery, Graduate School of Medicine, The University of Tokyo
Minoru Ono
Department of Cardiac Surgery, Graduate School of Medicine, The University of Tokyo
Issei Komuro
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo

Keywords: Aortic root replacement, Coronary anastomosis, Coronary ostial stenosis, Perfusion balloon, Heart failure, Case series

JOURNAL FREE ACCESS

2018 Volume 59 Issue 4 Pages 848-853

DOI https://doi.org/10.1536/ihj.17-357

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Abstract

The Bentall procedure is a surgical technique for an ascending aortic or aortic aneurysm in combination with valve disease. A well-known uncommon complication of after the Bentall procedure is coronary artery stenosis related to coronary anastomosis of an interposed graft. We report on a 73-year-old woman who presented with heart failure secondary to graft stenosis of the right coronary artery 6 months after undergoing a modified Bentall procedure. Percutaneous coronary intervention (PCI) was performed and type II coronary artery perforation occurred during PCI of the right coronary artery. We used a perfusion balloon and achieved hemostasis successfully. We report a case of coronary artery perforation that was treated with perfusion balloon during PCI in a patient with a prior modified Bentall procedure. In addition, we present a case series of PCI for ostial coronary stenosis after the Bentall procedure.

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