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Iatrogenic left circumflex coronary occlusion following mitral valve replacement surgery: A case report

Negin Yavari1, Mina Ghorbanpour Landy1, Yasaman Motevali2

  • 1Research Department Tehran Heart Center Tehran University of Medical Sciences Tehran Iran.

Clinical Case Reports
|March 26, 2021
PubMed

Insights

Rare injury to epicardial coronary arteries after mitral valve replacement can be fatal. Conservative medical treatment is a safe option for patients unable to undergo revascularization.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Anesthesia
  • Interventional Cardiology

Background:

  • Mitral valve replacement surgery is a common procedure.
  • Coronary artery injury is a rare but serious complication.
  • Revascularization is the standard treatment for coronary artery injury.

Observation:

  • A case of epicardial coronary artery injury following mitral valve replacement is presented.
  • The patient was not suitable for revascularization due to comorbidities.
  • Conservative medical management was initiated.

Findings:

  • Conservative medical treatment was successfully implemented.
  • The patient experienced a favorable outcome without revascularization.
  • This approach offers a safe alternative in select cases.

Implications:

  • Conservative management can be a viable strategy for coronary artery injury post-mitral valve replacement.
  • This approach expands treatment options for high-risk patients.
  • Further research is warranted to establish guidelines for conservative management.

Keywords:
left circumflex coronary arterymitral valve replacementocclusion

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