Ostial stenosis of coronary arteries after complete replacement of aortic root using gelatin-resorcinol-formaldehyde glue

Coronary ostial stenosis between an interposition graft and coronary artery is rare and fatal. A 46-year-old woman who had reconstruction of both coro nary arteries using interposition grafts for type A acute dissecting aneury sm presented with acute chest pain. Emergent coronary artery bypass graftin g was done with saphenous vein grafts. Inappropriate use of gelatin-resorci nol-formaldehyde glue can be associated with ostial stenosis in the long te rm. Transesophageal echocardiography is useful to diagnose ostial stenosis. of the coronary arteries. (C) 2001 by The Society of Thoracic Surgeons.