Turk Kardiyol Dern Ars. Ahead of Print: TKDA-89757 | DOI: 10.5543/tkda.2018.89757
Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery.
María Elena Arnáiz García1
, Jose María González-santos1
, María Elena Pérez-losada1
, Javier López-rodríguez1
, Javier Arnáiz21
Cardiovascular Surgery Department. University Hospital of Salamanca. Spain.2
Radiology Department. Aspetar-Orthopaedic and Sports Medicine Hospital,Al Buwairda St, Doha,Qatar.
A patient with advanced rheumatic heart valve disease was submitted to an aortic and mitral valve replacement with tricuspid ring annuloplasty. Patient had an anomalous left circumflex coronary artery (LCCA) arising from right coronary artery(RCA) running along anterior surface of an enlarged right ventricle (RV).During immediate postoperative course, signs of inferior and lateral myocardial ischemia established.An emergent coronary angiography revealed a LCCA entrapment.An additional suture placed in the RV outflow tract used to optimize exposition of aortic root during aortotomy was the origin of coronary entrapment.No similar cases of LCCA occlusion have been previously reported.We describe the successful management of this complication.Keywords:
Circumflex, coronary syndrome, cardiac surgery complications.
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Corresponding Author: María Elena Arnáiz García, Spain