Glue-Related Left Main Coronary Stenosis After a Modified Bentall Procedure: IVUS-Guided PCI
JACC: Case Reports, cilt.31, sa.3, 2026 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.jaccas.2025.106245
- Dergi Adı: JACC: Case Reports
- Derginin Tarandığı İndeksler: Scopus, EMBASE, Directory of Open Access Journals
- Anahtar Kelimeler: coronary angiography, percutaneous coronary intervention, valve replacement
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Extrinsic left main coronary artery (LMCA) stenosis is a rare but potentially life-threatening complication that may occur after modified Bentall surgery because of BioGlue use. Case Summary: We present a case of LMCA stenosis thought to be secondary to BioGlue application after modified Bentall surgery, diagnosed through multimodal imaging and successfully treated with intravascular ultrasound (IVUS)–guided percutaneous coronary intervention (PCI). Discussion: In conjunction with a review of the existing literature, this case adds to the limited number of reports on the diagnosis and management of BioGlue-related LMCA stenosis. It emphasizes the feasibility of multimodality imaging and IVUS-guided PCI, and outlines factors to consider in stent selection for this context. Take-Home Message: IVUS-guided PCI may be an important therapeutic option in patients with a recent history of cardiac surgery.