Unstable angina early after aortic valve replacement surgery in a female patient with normal coronary arteries preoperatively – a case report

doi:10.1186/1749-8090-4-29

Journal of Cardiothoracic Surgery

Volume 4

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Auer J

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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 Auer¹^,3

¹Department of Cardiology and Intensive Care, General Hospital Braunau, Austria

²Department of Cardiac Surgery, General Hospital Wels, Austria

³Department of Cardiology and Intensive Care, General Hospital Simbach, Germany

author email corresponding author email

Journal of Cardiothoracic Surgery 2009, 4:29doi:10.1186/1749-8090-4-29


Published:	2 July 2009

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.