Circumflex coronary artery injury following mitral annuloplasty treated by emergency angioplasty

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Stéphane AubertChristophe Acar

Abstract

Iatrogenic injury to the circumflex coronary artery following mitral annuloplasty is a potentially fatal complication. It can be clinically silent or else be responsible for a cardiogenic shock. The diagnosis should be suspected on EKG changes with segmental dysfunction of the lateral wall on the intraoperative echography. The author reports one case whose recognition relied on emergency angiography; the patient was successfully treated by angioplasty and stenting. The management of this complication remains controversial and the various treatment modalities are discussed.

Citations

Feb 20, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nick HiltropWalter Desmet
Mar 31, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Jennifer BanayanPatrick M McCarthy
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Oct 9, 2009·Journal of Cardiac Surgery·Antonio M CalafioreMichele Di Mauro
Feb 16, 2019·Journal of the Saudi Heart Association·Aysha HusainAli AlMasood
Oct 9, 2020·General Thoracic and Cardiovascular Surgery·Koji MiuraTakehiko Matsuo
Oct 22, 2020·The Thoracic and Cardiovascular Surgeon·Bálint FábiánTamás Ruttkay
Mar 27, 2021·Clinical Case Reports·Negin YavariSeyed Hossein Ahmadi Tafti
Oct 16, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Noriaki KishimotoToshihiko Shibata

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