Anomalous course of coronary artery challenging mitral valve surgery

Ilija Djordjevic; Kaveh Eghbalzadeh; Marc Boensch; Carolyn Weber; Anton Sabashnikov; Navid Mader; Thorsten Wahlers

doi:10.1111/jocs.14064

Anomalous course of coronary artery challenging mitral valve surgery

J Card Surg. 2019 Jun;34(6):522-524. doi: 10.1111/jocs.14064. Epub 2019 Apr 29.

Authors

Ilija Djordjevic¹, Kaveh Eghbalzadeh¹, Marc Boensch², Carolyn Weber¹, Anton Sabashnikov¹, Navid Mader¹, Thorsten Wahlers¹

Affiliations

¹ Department of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
² Department of Anaesthesiology, University Hospital Cologne, Cologne, Germany.

PMID: 31037760
DOI: 10.1111/jocs.14064

Abstract

Suture-related injuries of the left circumflex branch are a serious and well-known complication of mitral valve surgery. Avoiding this complication is challenging, especially in an unexpected course of coronary arteries. We present a case of minimally invasive mitral valve repair in a patient with a rare anatomical variant of the main stem in direct proximity to the whole anterior leaflet.

Keywords: anomalous; coronary artery; mitral valve surgery.

Publication types

Case Reports

MeSH terms

Coronary Vessel Anomalies / complications*
Coronary Vessel Anomalies / diagnostic imaging
Electrocardiography
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Middle Aged
Minimally Invasive Surgical Procedures / methods*
Mitral Valve / surgery*
Mitral Valve Insufficiency / complications
Mitral Valve Insufficiency / surgery*
Severity of Illness Index
Thoracotomy / methods
Tomography, X-Ray Computed
Treatment Outcome