Work

Glue-Related Left Main Coronary Stenosis After a Modified Bentall Procedure

Year: 2025

Type: article

Abstract: 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.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106245