Distortion of the proximal circumflex artery during mitral valve repair.
A 74-year-old woman showed electrocardiographic signs of severe lateral ischemia with no hemodynamic consequence after mitral valve repair for severe mitral regurgitation. An angiogram showed interruption of the proximal circumflex artery. The patients then underwent an on-pump beating heart marginal branch revascularization. A new angiogram performed before discharge showed a widely patent graft.
Calafiore
Antonio M
AM
Department of Adult Cardiac Surgery, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia. calafiore@unich.it
Iacò
Angela L
AL
Varone
Egidio
E
Bosco
Paolo
P
Di Mauro
Michele
M
D000368:Aged; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D004562:Electrocardiography; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000601:surgery; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation; D012720:Severity of Illness Index