Coronary ostial stenosis is a rare but potentially life-threatening complication associated with surgical aortic valve replacement (SAVR).
In 1967, Roberts and Morrow first described coronary ostial stenosis as a complication of SAVR .
However, coronary ostial stenosis can develop after SAVR even without cannulation , and brief cannulation times with intermittent infusion of antegrade cardioplegic solution did not eliminate the risk [4, 11].
With technological advancement, PCI and stent placement can successfully treat coronary ostial stenosis with good early and late outcomes [5, 7, 12, 14-17].
Although coronary ostial stenosis typically occurs within the first 6 months after SAVR, we describe its identification in association with NSTEMI 22 months after the surgery.
Brymer, "Coronary ostial stenosis: a complication of aortic valve replacement," Circulation, vol.
Charokopos et al., "Coronary ostial stenosis after aortic valve replacement: successful treatment of 2 patients with drug-eluting stents," Texas Heart Institute Journal, vol.