The association of calcific aortic valve disease and isolated coronary ostial stenosis
is rare. A 80-year-old woman was found to have severe aortic stenosis with critical
narrowing of the ostium of the left main coronary artery. She was successfully managed
by simultaneous aortic valve replacement and patch angioplasty of the left main coronary
artery, using a patch of autologous pericardium fixed in glutaraldehyde. Angiographic
control at 1 month coupled with intravascular echographic imaging showed adequate
relief of the ostial stenosis and patency of the left main trunk.
Aortic valve disease - Aortic valve replacement - Myocardial revascularization - Isolated
coronary ostial stenosis - Surgical angioplasty