title: Mitral valve repair in a patient with an anomalous left coronary artery.
abstract: Anomalous coronary arteries may course in close proximity to the mitral annulus, which increases the risk of iatrogenic occlusion due to annular suture placement. We report a mitral valve repair in a 55-year-old male with severe mitral regurgitation and an anomalous retro-aortic left coronary artery, originating from the right coronary sinus, coursing in close proximity to the anterior mitral annulus. To minimize iatrogenic occlusion risk an open annuloplasty ring was used with good long-term results.
authors.affiliation: Department of Cardiothoracic Surgery, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Robbert C
authors.initials: RC
authors.lastname: Bakker
authors.forename: Wobbe
authors.initials: W
authors.lastname: Bouma
authors.forename: Inez J
authors.initials: IJ
authors.lastname: Wijdh-den Hamer
authors.forename: Ehsan
authors.initials: E
authors.lastname: Natour
authors.forename: Massimo A
authors.initials: MA
authors.lastname: Mariani
mesh_terms: D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000517:prevention & control; D003324:Coronary Artery Disease / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis; D017548:Echocardiography, Transesophageal; D006801:Humans; D007049:Iatrogenic Disease / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D058386:Mitral Valve Annuloplasty / Q000009:adverse effects / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D012306:Risk; D016896:Treatment Outcome