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Case Reports
. 2006;33(1):85-7.

Perioperative myocardial infarction secondary to dynamic circumflex coronary artery occlusion after mitral valve repair

Diederik F Meursing  1 , N Ab Boonswang, Nikola Dobrilovic, Michael A Wait
Affiliations
Case Reports

Perioperative myocardial infarction secondary to dynamic circumflex coronary artery occlusion after mitral valve repair

Diederik F Meursing et al. Tex Heart Inst J. 2006.

Abstract

Few reported cases document injury to the circumflex coronary artery secondary to repair of the mitral valve annulus. This potentially life-threatening sequela must be considered during mitral valve repair. In an effort to increase awareness of this sequela, we present the case of a patient who experienced a perioperative myocardial infarction secondary to injury of the circumflex coronary artery after mitral valve repair.

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Figures

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Fig. 1 Left main injection coronary angiogram during diastole. Partial occlusion of the left-dominant circumflex coronary artery is shown (arrow) in proximity to the mitral annulus repair. This occlusion is dynamic and becomes complete during systole.
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Fig. 2. Left main injection coronary angiogram during systole. Complete occlusion of the left-dominant circumflex artery is shown (arrow).
See this image and copyright information in PMC

References

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