Abstract
Perioperative myocardial infarction is a complication of cardiac surgery, and the
cause can be multifactorial. Injury of the left circumflex coronary artery has been
described, particularly after mitral valve replacement. We present the case of a 72-year-old
woman who underwent mitral valve replacement but developed a lesion in the proximal
circumflex coronary artery related to partial mechanical kinking caused by a suture.
The therapeutic options are surgical or percutaneous. In this patient, the percutaneous
strategy was successful.
Keywords
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References
- Seven years’ experience with suture annuloplasty for mitral valve repair.J Thorac Cardiovasc Surg. 2006; 131: 99-106
- Suture obliteration of the circumflex coronary artery in three patients undergoing mitral valve operation.J Thorac Cardiovasc Surg. 1982; 84: 773-778
- Circumflex coronary artery injury after mitral valve surgery: a report of four cases and comprehensive review of the literature.Catheter Cardiovasc Interv. 2016; 89: 78-92
- Left circumflex artery injury after mitral valve surgery: an algorithm management proposal.Ann Thorac Surg. 2021; 111: 899-904
Article info
Publication history
Published online: February 28, 2023
Accepted:
January 24,
2023
Received in revised form:
December 17,
2022
Received:
September 15,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
