title: Anomalous Origin of the Circumflex Artery: An Underestimated Threat During Mitral Valve Operation.
abstract: Ischemic iatrogenic lesions can complicate surgical procedures on the mitral valve. One of the causative mechanisms is direct injury to or distortion of the circumflex coronary artery. The risk of damaging the circumflex coronary artery depends mainly on the proximity of that vessel to the posterior segment of the mitral annulus, and this varies from patient to patient. Herein, we report the case of an iatrogenic circumflex coronary artery lesion after mitral annuloplasty in a patient with an anomalous origin of the circumflex artery.
authors.affiliation: Cardiac Surgery Department, Ziekenhuis Oost Limburg, Genk, Belgium. Electronic address: matteo.pettinari@gmail.com.
authors.forename: Matteo
authors.initials: M
authors.lastname: Pettinari
authors.affiliation: Cardiac Surgery Department, Ziekenhuis Oost Limburg, Genk, Belgium.
authors.forename: Herbert
authors.initials: H
authors.lastname: Gutermann
authors.affiliation: Cardiac Surgery Department, Ziekenhuis Oost Limburg, Genk, Belgium.
authors.forename: Christiaan
authors.initials: C
authors.lastname: Van Kerrebroeck
authors.affiliation: Cardiac Surgery Department, Ziekenhuis Oost Limburg, Genk, Belgium.
authors.forename: Robert
authors.initials: R
authors.lastname: Dion
mesh_terms: D003330:Coronary Vessel Anomalies / Q000150:complications*; D003331:Coronary Vessels / Q000293:injuries*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000601:surgery