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Right ventricular infarction caused by tricuspid ring annuloplasty
Yujiro Miura1, Ryosuke Takeuchi2, Yasuhiko Terai3
1Department of Cardiovascular Surgery, Heart Center, Shizuoka City Hospital, 10-93, Ohte-machi, Aoi-ku, Shizuoka, 420-8630, Japan. yumiura-ths@umin.net.
Tricuspid annuloplasty can rarely injure the right coronary artery, leading to right ventricular infarction. This case reviews management strategies for this uncommon complication.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Cardiac Surgery
Background:
- Tricuspid annuloplasty is a surgical procedure to treat tricuspid regurgitation.
- Right coronary artery (RCA) injury is an infrequent complication during this procedure.
- Right ventricular (RV) infarction is a potential consequence of RCA injury.
Observation:
- A patient developed RV infarction following tricuspid annuloplasty.
- The infarction was attributed to iatrogenic injury to the RCA during the procedure.
Findings:
- The study highlights a rare complication of tricuspid annuloplasty: RCA injury.
- This injury resulted in RV infarction in the reported patient.
Implications:
- Early recognition and prompt management are crucial for patients experiencing RV infarction post-tricuspid annuloplasty.
- Understanding this complication can guide surgical techniques and improve patient outcomes.
- Reviewing management options is essential for clinicians facing this rare event.
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