Circumflex artery injury during mitral valve repair: Not well known, perhaps not so infrequent—lessons learned from a 6-case experience

Coutinho, Gonçalo F.; Leite, Filipe; Antunes, Manuel J.

doi:10.1016/j.jtcvs.2017.05.043

Cited by 37 publications

(59 citation statements)

References 23 publications

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“…Anomalies of the coronary arteries are uncommon and rarely cause serious pathophysiological conditions . This might impede MVS, however, severe complications can occur after iatrogenic lesion of CxA . The types of suture‐related injuries include occluding, narrowing, or kinking of coronary vessels .…”

Section: Discussionmentioning

confidence: 99%

Anomalous course of coronary artery challenging mitral valve surgery

et al. 2019

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Suture-related injuries of the left circumflex branch are a serious and well-known complication of mitral valve surgery. Avoiding this complication is challenging, especially in an unexpected course of coronary arteries. We present a case of minimally invasive mitral valve repair in a patient with a rare anatomical variant of the main stem in direct proximity to the whole anterior leaflet.anomalous, coronary artery, mitral valve surgery

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Section: Discussionmentioning

confidence: 99%

Anomalous course of coronary artery challenging mitral valve surgery

et al. 2019

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“…Thromboembolic complication are as well present in this cohort of patients, representing, in the experience of David et al (11), the 10% of his population during a follow up of 20 years. Even if there are only sparse reports, circumflex artery injury during MV repair has been described (43,44). Reporting our results must include all the possible information which can affect the quality of life of our patients.…”

Section: Discussionmentioning

confidence: 99%

Durability of mitral valve repair for degenerative mitral regurgitation: is it gold all that glitters?

Calafiore¹,

Totaro²,

Foschi

et al. 2018

Ann. Transl. Med

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“…Of note, of 55 patients with MAC in whom annular decalcification was performed, 1 death was directly related to annular decalcification itself. Left coronary artery dominance was present, and fatal postoperative ischemia developed after an initial hemodynamically stable period without electrocardiographic or echocardiographic signs [19]. Early recognition is of utmost importance to prevent serious complications and should, in case of annular decalcification, be suspected even when signs of ischemia are initially absent.…”

Section: Commentmentioning

confidence: 99%