Mitral Valve Repair and Anomalous Origin of Circumflex Artery: To Ring or Not to Ring

Assunta Fabozzo; Elena Rossi; Gabriele Facci; Tomaso Bottio; Gino Gerosa

doi:10.1016/j.jaccas.2019.08.030

Mitral Valve Repair and Anomalous Origin of Circumflex Artery: To Ring or Not to Ring

JACC Case Rep. 2019 Dec 18;1(4):503-507. doi: 10.1016/j.jaccas.2019.08.030. eCollection 2019 Dec.

Authors

Assunta Fabozzo¹, Elena Rossi¹, Gabriele Facci¹, Tomaso Bottio¹, Gino Gerosa¹

Affiliation

¹ Department of Cardio-Thoracic-Vascular Science and Public Health, Cardiac Surgery Unit, Hospital of Padova, Padova, Italy.

Abstract

We describe a case of an adult patient with mitral valve regurgitation and the anomalous origin and course of the left circumflex coronary artery. Use of a ringless procedure or a microinvasive approach, such as transapical neochordae implantation, would have possibly avoided a life-threatening post-operative complication. (Level of Difficulty: Advanced.).

Keywords: AAOCA, anomalous aortic origin of coronary artery; LCA, left coronary artery; LCX, left circumflex coronary artery; LV, left ventricular; RCS, right coronary sinus; TTE, transthoracic echocardiogram; V-A ECMO, veno-arterial extracorporeal circulatory membrane oxygenator; cardiac risk; computed tomography; coronary vessel anomaly; mitral valve.

Publication types

Case Reports