Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery
A patient with advanced rheumatic heart valve disease underwent aortic and mitral valve replacement with tricuspid ring annuloplasty. There was an anomalous left circumflex coronary artery (LCCA) arising from the right coronary artery (RCA) running along the anterior surface of an enlarged right ven...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KARE Publishing
2019-04-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-89757 |
| _version_ | 1797920322758901760 |
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| author | María Elena Arnáiz García Jose María González-Santos María Elena Pérez-Losada Javier López-Rodríguez Javier Arnáiz |
| author_facet | María Elena Arnáiz García Jose María González-Santos María Elena Pérez-Losada Javier López-Rodríguez Javier Arnáiz |
| author_sort | María Elena Arnáiz García |
| collection | DOAJ |
| description | A patient with advanced rheumatic heart valve disease underwent aortic and mitral valve replacement with tricuspid ring annuloplasty. There was an anomalous left circumflex coronary artery (LCCA) arising from the right coronary artery (RCA) running along the anterior surface of an enlarged right ventricle (RV). During the immediate postoperative course, signs of inferior and lateral myocardial ischemia developed. An emergent coronary angiography revealed LCCA entrapment. An additional suture placed in the RV outflow tract used to optimize exposition of the aortic root during the aortotomy was determined to be the origin of the coronary entrapment. No similar case of LCCA occlusion has previously been reported. This is a description of successful management of this complication. |
| first_indexed | 2024-04-10T13:59:22Z |
| format | Article |
| id | doaj.art-da5cd3c193134f9fb6f5295cf362e364 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T13:59:22Z |
| publishDate | 2019-04-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-da5cd3c193134f9fb6f5295cf362e3642023-02-15T16:10:20ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692019-04-0147323924210.5543/tkda.2018.89757TKDA-89757Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary arteryMaría Elena Arnáiz García0Jose María González-Santos1María Elena Pérez-Losada2Javier López-Rodríguez3Javier Arnáiz4Department of Cardiovascular Surgery, University Hospital of Salamanca, SpainDepartment of Cardiovascular Surgery, University Hospital of Salamanca, SpainIntensive Care Medicine, University Hospital of Salamanca, SpainDepartment of Cardiovascular Surgery, University Hospital of Salamanca, SpainDepartment of Radiology, Aspetar-Orthopaedic and Sports Medicine Hospital, Al Buwairda St, Doha, QatarA patient with advanced rheumatic heart valve disease underwent aortic and mitral valve replacement with tricuspid ring annuloplasty. There was an anomalous left circumflex coronary artery (LCCA) arising from the right coronary artery (RCA) running along the anterior surface of an enlarged right ventricle (RV). During the immediate postoperative course, signs of inferior and lateral myocardial ischemia developed. An emergent coronary angiography revealed LCCA entrapment. An additional suture placed in the RV outflow tract used to optimize exposition of the aortic root during the aortotomy was determined to be the origin of the coronary entrapment. No similar case of LCCA occlusion has previously been reported. This is a description of successful management of this complication.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-89757acute coronary syndromecardiac surgery complicationscircumflex artery. |
| spellingShingle | María Elena Arnáiz García Jose María González-Santos María Elena Pérez-Losada Javier López-Rodríguez Javier Arnáiz Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery Türk Kardiyoloji Derneği Arşivi acute coronary syndrome cardiac surgery complications circumflex artery. |
| title | Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery |
| title_full | Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery |
| title_fullStr | Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery |
| title_full_unstemmed | Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery |
| title_short | Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery |
| title_sort | unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery |
| topic | acute coronary syndrome cardiac surgery complications circumflex artery. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-89757 |
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