title: Acute Right Coronary Artery Occlusion After Tricuspid Valve Ring Annuloplasty.
abstract: A patient was submitted to mitral valve replacement and tricuspid ring annuloplasty. During immediate postoperative course, signs of inferior myocardial ischemia appeared. Acute entrapment of the right coronary artery due to tricuspid ring sutures was confirmed by coronary angiography. The patient was reoperated and a right coronary bypass graft was successfully performed. Tricuspid procedures have shown to be effective and secure with a low rate of complication. Few cases of right coronary artery occlusion have been described and the majority not treated. Exceptional cases of right coronary occlusion related to tricuspid ring annuloplasty have been reported with a favorable outcome, as the case described herein.
authors.affiliation: Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain.
authors.forename: Jose María
authors.initials: JM
authors.lastname: González-Santos
authors.affiliation: Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain. Electronic address: elearnaiz@hotmail.com.
authors.forename: María Elena
authors.initials: ME
authors.lastname: Arnáiz-García
authors.affiliation: Department of Anesthesiology, University Hospital of Salamanca, Salamanca, Spain.
authors.forename: Jose Alfonso
authors.initials: JA
authors.lastname: Sastre-Rincón
authors.affiliation: Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain.
authors.forename: María E
authors.initials: ME
authors.lastname: Bueno-Codoñer
authors.affiliation: Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain.
authors.forename: María José
authors.initials: MJ
authors.lastname: Dalmau-Sorlí
authors.affiliation: Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Arévalo-Abascal
authors.affiliation: Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: López-Rodríguez
authors.affiliation: Department of Cardiology, University Hospital of Salamanca, Salamanca, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Diego-Nieto
mesh_terms: D000368:Aged; D058385:Cardiac Valve Annuloplasty / Q000009:adverse effects*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D012086:Reoperation; D014262:Tricuspid Valve Insufficiency / Q000601:surgery*