Late Presentation of Recurrent Monomorphic Ventricular Tachycardia following Minimally Invasive Mitral Valve Repair due to Epicardial Injury.
We report a 73-year-old male with late onset monomorphic ventricular tachycardia following mitral valve repair (MVR). Typically, injury to epicardial arteries following mitral valve repair/replacement presents immediately as ventricular tachycardia/fibrillation, difficulty weaning from cardiopulmonary bypass, worsening ECG changes, increasing cardiac biomarkers, or new wall motion abnormalities. Our case illustrates a "late complication" of a distorted circumflex artery following mitral valve repair and the importance of early diagnostic angiography and percutaneous intervention.
Department of Medicine, Division of Cardiology, Graduate School of Medicine, University of Tennessee, Knoxville, TN 37920, USA.
Harry L
HL
South
Department of Medicine, Division of Internal Medicine, Graduate School of Medicine, University of Tennessee, Knoxville, TN 37920, USA.
Moses
M
Osoro
Department of Medicine, Division of Cardiology, Graduate School of Medicine, University of Tennessee, Knoxville, TN 37920, USA ; Heart Lung Vascular Institute, University of Tennessee Medical Center, 1940 Alcoa Highway, Suite E 310, Knoxville, TN 37920, USA.
Tjuan
T
Overly