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Abstract: Iatrogenic stenosis of the coronary ostia is a rare but life-threatening complication which may follow aortic valve replacement. We report a case treated with a drug-eluting stent with subsequent severe restenosis at 24months. In-stent restenosis was successfully treated with reimplantation of a further drug-eluting stent with no restenosis on surveillance angiography at 11months and no recurrence of symptoms at 5years. [Copyright &y& Elsevier]

Abstract: Iatrogenic coronary ostial stenosis after aortic valve replacement is a rare, life-threatening complication, which may follow implantation of either a mechanical or a biological prosthesis. Historically, this condition has been treated by urgent coronary bypass surgery but is associated with high morbidity and mortality, due to the hazards of early repeat sternotomy. We report a case of iatrogenic coronary ostial stenosis successfully treated with stenting and discuss the advantages of percutaneous intervention over coronary bypass surgery. [Copyright &y& Elsevier]