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Ann Thorac Surg 1998;66:2091-2093
© 1998 The Society of Thoracic Surgeons

Case Reports

Damage to the circumflex coronary artery during mitral valve repair with sliding leaflet technique

Giuseppe Tavilla, MDa, Davide Pacini, MDa

a Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands

Accepted for publication May 21, 1998.

Address reprint requests to Dr Tavilla, Department of Cardiothoracic Surgery, University Hospital Leiden, K6-S, Postbus 9600, 2300 RC Leiden, the Netherlands

We report a case of damage to the circumflex coronary artery during mitral valve repair using sliding leaflet technique in a patient with a posterior mitral leaflet prolapse and coronary artery disease who underwent mitral valve reconstruction using Carpentier’s technique and coronary artery bypass grafting. This case underscores the risk of circumflex coronary artery injury during mitral valve reconstruction, especially in patients with left coronary dominance or codominance, and therefore emphasizes the importance of knowing the coronary artery anatomy preoperatively. The use of intraoperative transesophageal echocardiography is mandatory for the evaluation of mitral valvuloplasty.




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