Compression of an anomalous left circumflex artery after aortic and mitral valve replacement. uri icon

Overview

abstract

  • A 52-year-old gentleman with a history of rheumatic fever presented with dyspnea. Transthoracic echocardiography revealed severe valvular aortic stenosis and severe mitral stenosis. A preoperative coronary angiogram revealed an anomalous left circumflex (LCX) artery arising from the right coronary sinus. The patient underwent aortic and mitral valve replacement. Postoperatively, a non-ST segment elevation myocardial infarction developed, and coronary angiography confirmed subtotal occlusion of the anomalous LCX. An emergent reoperation with surgical revascularization was performed. Intraoperatively, the mechanism of injury to the LCX was determined to be compression of the distal LCX by the sewing ring of the two prosthetic valves.

publication date

  • October 31, 2011

Research

keywords

  • Aortic Valve
  • Coronary Vessel Anomalies
  • Heart Valve Prosthesis Implantation
  • Mitral Valve
  • Postoperative Complications

Identity

Scopus Document Identifier

  • 80155134799

Digital Object Identifier (DOI)

  • 10.1016/j.athoracsur.2011.04.095

PubMed ID

  • 22051288

Additional Document Info

volume

  • 92

issue

  • 5