A Novel Hybrid Approach to Iatrogenic Circumflex Artery Injury After Mitral Repair

Ali Hage; Fadi Hage; Kumar Sridhar; Bob Kiaii; Michael W.A. Chu

doi:10.1053/j.semtcvs.2019.07.002

A Novel Hybrid Approach to Iatrogenic Circumflex Artery Injury After Mitral Repair

Ali Hage, Fadi Hage, Kumar Sridhar, Bob Kiaii, Michael W.A. Chu

Research output: Contribution to journal › Article › peer-review

Abstract

Iatrogenic coronary injury after mitral repair is related to blind annuloplasty suture ligation or kinking of the circumflex artery (CxA) and can present with early ST segment changes, malignant ventricular arrhythmias, and segmental wall motion abnormalities. Corrective treatment is imperative to avoid myocardial infarction and can include removal of the annuloplasty ring or CxA bypass. We present a novel hybrid approach for the rapid diagnosis and management of iatrogenic CxA injury after mitral repair.

Original language	English (US)
Pages (from-to)	486-489
Number of pages	4
Journal	Seminars in Thoracic and Cardiovascular Surgery
Volume	32
Issue number	3
DOIs	https://doi.org/10.1053/j.semtcvs.2019.07.002
State	Published - Sep 1 2020
Externally published	Yes

Keywords

Circumflex injury
Hybrid approach
Mitral valve repair

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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Cite this

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AU - Chu, Michael W.A.

PY - 2020/9/1

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AB - Iatrogenic coronary injury after mitral repair is related to blind annuloplasty suture ligation or kinking of the circumflex artery (CxA) and can present with early ST segment changes, malignant ventricular arrhythmias, and segmental wall motion abnormalities. Corrective treatment is imperative to avoid myocardial infarction and can include removal of the annuloplasty ring or CxA bypass. We present a novel hybrid approach for the rapid diagnosis and management of iatrogenic CxA injury after mitral repair.

KW - Circumflex injury

KW - Hybrid approach

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