Archives of the Turkish Society of Cardiology
Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2019; 47(3): 239-242 | 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-Losada2, Javier López-Rodríguez1, Javier Arnáiz3
1Department of Cardiovascular Surgery, University Hospital of Salamanca, Spain
2Intensive Care Medicine, University Hospital of Salamanca, Spain
3Department of Radiology, Aspetar-Orthopaedic and Sports Medicine Hospital, Al Buwairda St, Doha, Qatar

A patient with advanced rheumatic heart valve disease underwent aortic and mitral valve replacement with tricuspid ring annuloplasty. There was an anomalous left circumflex coronary artery (LCCA) arising from the right coronary artery (RCA) running along the anterior surface of an enlarged right ventricle (RV). During the immediate postoperative course, signs of inferior and lateral myocardial ischemia developed. An emergent coronary angiography revealed LCCA entrapment. An additional suture placed in the RV outflow tract used to optimize exposition of the aortic root during the aortotomy was determined to be the origin of the coronary entrapment. No similar case of LCCA occlusion has previously been reported. This is a description of successful management of this complication.

Keywords: Acute coronary syndrome, cardiac surgery complications, circumflex artery.











How to cite this article
María Elena Arnáiz García, Jose María González-Santos, María Elena Pérez-Losada, Javier López-Rodríguez, Javier Arnáiz. Unexpected entrapment during surgery of anomalous circumflex coronary artery arising from right coronary artery. Turk Kardiyol Dern Ars. 2019; 47(3): 239-242

Corresponding Author: María Elena Arnáiz García, Spain
© Copyright 2019 Archives of the Turkish Society of Cardiology
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