A case of coronary stenosis developing after successful aortic valve repair in Cogan's syndrome

Abstract

Cogan's syndrome has been described as entity of progressive deafness and interstitial keratitis with variable cardiovascular involvement leading to aortic insufficiency or orificial stenosis of coronary or aortic arch vessels. So far, aortic valve replacement either with mechanical or biological prosthesis was favored for correction of the valvular lesion. A patient with primary successful aortic valve repair followed by coronary revascularization for left coronary ostial stenosis occurring after the first operation is presented.