When too much closeness harms: circumflex artery injury during mitral valve surgery
Christian Dumps,
Philipp Simon,
Evaldas Girdauskas
et al.
Abstract:Occlusion of the left coronary circumflex artery (LCX) during surgical procedures of the mitral valve is an infrequent but potentially life-threatening complication (1–3). Due to its close anatomical relationship to the posterior mitral valve annulus, there is a relevant risk of causing a stenosis or an occlusion of the left circumflex artery, especially by surgical annular sutures. The perioperative clinical course is heterogeneous, ranging from—initially—asymptomatic or solely electrocardiographic abnormalit… Show more
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